12 results
TCA Overdose on EKG
 • Sinus tachycardia
 • QRS prolongation
 • QT prolongation
 • Rightward deviation
prolongation • QT ... Overdose #tricyclic #antidepressants ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical #criteria
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Tricyclic antidepressant ... widened QRS and QTc ... #AVR #leadAVR #ecg ... #electrocardiogram ... #differential #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... - LAD: Inf Ml, WPW ... antipsychotics, antidepressants ... #electrocardiogram ... #cardiology #interpretation
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... WPW is a congenital ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... + negative T WPW ... mchlwng #Syncope #Syndromes ... #diagnosis #cardiology ... #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... point • De Winter syndrome ... #Equivalents #ECG ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib + WPW ... (2) Sick Sinus Syndrome ... bradyarrhythmia #ECG ... #electrocardiogram ... #cardiology #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
interval J Wave Syndromes ... involved • Brugada Syndrome ... Wolff-Parkinson-White syndrome ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
conventional STEMI criteria ... original Sgarbossa criteria ... lead V6 has ST elevation ... #Electrocardiogram ... #Clinical #Cardiology