19 results
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
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
repolarization causes ... prolonged PR and QT ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
and a prolonged QT ... waves - Short QT ... waves • Short QT ... #cardiology #ecg ... #ekg #electrocardiogram
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 ... LongQT #Syndrome #Diagnosis
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... with diffuse ST elevations ... First line treatment ... in refractory cases ... #Diagnosis #Signs
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
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... #Embolism #ECG
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
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Raynaud, migraine, etc ... Variable troponin elevation ... Diagnosis: ... changes on tele/ECG ... tests in cath lab Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... before beginning treatment ... output - Acute pulmonary