16 results
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
QT Syndrome: Illness ... **Get baseline EKG ... - QT prolonging ... LongQT #Syndrome #Diagnosis ... #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
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
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
DANGER - Short QT ... : ↑ca - Long QT ... hypo K, hypo Mg, congenital ... #Approach #ECG ... #EKG #diagnosis
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 ... #EKG #ECG #Diagnosis ... #Cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Algorithm Drugs ... that prolong QT ... • Donepezil Congenital ... long QT Syndrome ... #Algorithm
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Diagnostic Algorithm ... additional symptoms (eg ... speech abnormality, etc ... such as: - Syncope ... #management #Neurology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
Epsilon #clinical #diagnosis ... Section: QT interval ... includes long QT ... syndrome or short QT ... #cardiology #differential
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
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