21 results
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
the tricuspid valve ... appearance on ECG ... to the flutter waves ... #Diagnosis #ECG ... #EKG #Cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Symptoms and Management ... despite hx HTN) EKG ... pseudoinfarct pattern (Q-waves ... precordial leads) - atrial ... #Cardiology #Staging
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
plus aspirin (ASA ... monotherapy (2017 AHA/ACC ... patients with chronic atrial ... (2017 AHA/ACC VHD ... #Management #Cardiology
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
used to detect atrial ... atrial flutter ... clinically, based on signs ... standard 12 lead ECG ... #Cardiology #EKG
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... without chest pain, as ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... RV, McConnell's sign ... , and additional ... #A4c #clinical ... #cardiology #McConnells
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... ’s called Frog sign ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... upsloping ST dep and ... #Ischemia #ECG ... electrocardiogram #cardiology
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... apex of the R wave ... #EKG #Cardiology ... #Crochetage #Sign ... #ASD