37 results
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
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
, e.g., due to arrhythmias ... (ruling out differential ... further guide management ... and an initial ECG ... In many cases, syncope
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 ... LongQT #Syndrome #Diagnosis ... #Cardiology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Medication side effect (e.g ... Medication side effect (e.g ... #Table #Causes
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
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
ventricular arrythmia, syncope ... Paraclinical assessment: EKG ... #Myocarditis #differential ... #Diagnosis #Causes ... #cardiology #MRI
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
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 ... #EKG #Electrocardiogram
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... CNS pathology (e.g ... pathology (e.g. ... #Diagnosis #Table ... #Causes #Sodium