19 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 ... Electrocardiogram #EKG ... #ECG
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
Originates from single focus ... that prolong the QT ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Junctional Rhythms - Junctional rhythm describes an abnormal heart rhythm resulting from impulses coming from a
coming from a locus ... #Cardiology #MedStudent ... #EKG #Junctional ... #Rhythms #Table ... RetrogradeP #Escape #ECGEducator
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
repolarization causes ... prolonged PR and QT ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... family history) Treatment ... Syndrome #Diagnosis #Cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... See thread for POCUS ... #Embolism #ECG ... #EKG #Electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #management #cardiology
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... found in long QT ... is also a short QT ... Mnemonic #Syncope #EKG ... #ECG #Diagnosis
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Drugs that prolong QT ... Congenital long QT ... Hypocalcemia (rarely) Treatment ... load: 25-50 mg/kg ... 1b (lidocaine)- case
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
and a prolonged QT ... QRS complex Pulmonary ... waves - Short QT ... waves • Short QT ... #ecg #ekg #electrocardiogram