11 results
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram ... (EKG) Digoxin ... effect on ECG ( ... waves - Short QT ... #EKG #Cardiology
TCA Overdose on EKG
 • Sinus tachycardia
 • QRS prolongation
 • QT prolongation
 • Rightward deviation
TCA Overdose on EKG ... • Sinus tachycardia ... prolongation • QT ... #ECG #electrocardiogram ... #cardiology #diagnosis
Electrocardiographic Features of Digoxin Toxicity
 • Virtually any arrhythmia is possible. None specific for digoxin toxicity
None specific for digoxin ... Shortening of QT ... digitalis #Toxicity #Electrocardiogram ... #ekg #ecg #toxicology ... #cardiology #diagnosis
QT / QTc Interval Measurement in Irregular Rhythms
2 Approaches:
 • Measure and calculate the QTc for
QT / QTc Interval ... Irregular Rhythms 2 Approaches ... the associated QT ... Irregular #Rhythm #cardiology ... #ekg #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... • ↑ Ca - short QT ... • ↓ Ca - long QT ... #diagnosis #cardiology ... #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... DANGER - Short QT ... : ↑ca - Long QT ... #electrocardiogram ... #cardiology #interpretation
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (1) Sinus tachycardia ... bradyarrhythmia #ECG ... #electrocardiogram ... #cardiology #differential
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... arrhythmia: - EKG ... changes (especially QT ... prolongation) - Digoxin ... #Hypokalemia #Management
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
., long QT syndrome ... Substances • Digoxin ... 300 = NSVT EKG ... Supraventricular tachycardia ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
and a prolonged QT ... block; and sinus tachycardia ... waves - Short QT ... waves • Short QT ... #ecg #ekg #electrocardiogram