29 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Loperamide and QT Prolongation #Clinical #EM #Cardiology #EKG #QT #Prolongation #QTProlongation #Loperamide #ALiEM
Loperamide and QT ... Prolongation #Clinical ... #EM #Cardiology ... #EKG #QT #Prolongation
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
and a prolonged QT ... segment (Panel A) #Clinical ... #Cardiology #EM ... #EKG #Hyperkalemia
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... arrhythmia: - EKG ... their validity (e.g ... context & EKG) ... #Hypokalemia #Management
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- EKG & echocardiography ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Tachycardia #Treatment ... #management #cardiology