34 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... • Oxygen • Treatment ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
TCA Overdose on EKG
 • Sinus tachycardia
 • QRS prolongation
 • QT prolongation
 • Rightward deviation
TCA Overdose on EKG ... • Sinus tachycardia ... antidepressants #EKG ... #ECG #electrocardiogram ... #clinical #criteria
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 ... #Treatment #management ... #cardiology #algorithm
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
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... supraventricular #tachycardia ... peds #Pediatric #treatment
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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... #Cardiology