13 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
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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... disease or CHF) ... Control rate (e.g ... disease or CHF)
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
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
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Myocardial injury (ST elevation ... Low voltage Treatment ... #Myocarditis #diagnosis
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
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... 300 = NSVT EKG ... Differential Diagnosis ... more intensive treatment
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
coved ST-segment elevation ... Epsilon #clinical #diagnosis ... Section: QT interval ... includes long QT ... syndrome or short QT
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