15 results
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
through the cavo-tricuspid ... negatively-directed flutter waves ... positively-directed flutter waves ... to the flutter waves ... #EKG #Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
Components • a wave ... • c wave - caused ... #Waves #Jugular ... Waveforms #JVP #PhysicalExam ... #cardiology
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
with “giant v” waves ... Note the giant cv wave ... with the giant v wave ... Clinical #Video #PhysicalExam ... #Cardiology
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
Tricuspid Regurgitation ... obscenely huge waves ... it giant A or V wave ... #Video #AFib #PhysicalExam ... #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... In AVNRT, the atria ... rapid cannon a waves ... Hussainch #Cannon #Awaves ... #JVP #Cardiology
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
flutter waves when ... clinically, based on signs ... perpendicular to the wave ... flutter waves may ... #Cardiology #EKG
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 ... - hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... electrocardiogram #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 ... #Symptoms #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wave Inversion ... threatening T wave ... angina; but T wave ... Serial EKGS in pts ... #Diagnosis #Cardiology