29 results
Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
 • All AV nodal
Pre-Excitation AFib ... pre-excitation + a-fib ... nodal blocking meds ... PreExcitation #clinical ... #ecg #ekg #electrocardiogram
Hypothermia on EKG
 • J (Osborn) waves
 • PR, QRS, and QT prolongation
 • Various bradyarrythmias
Hypothermia on EKG ... bradycardia, a fib ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
pathway first - A-fib ... WPW #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
complexes >120 ms ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #clinical
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... ., A-Fib also a ... in relation to ECG ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... seen in acute MI ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
a NCCT or • MRI ... Evaluate underlying cause ... Cardioembolic: • ECG ... Ruled out other causes ... stroke #workup #diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Differential/diagnosis ... See thread for POCUS ... Pulmonary #Embolism #ECG ... #EKG #Electrocardiogram