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Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT with BBB All ... or LBBB morphology ... Fusion beats - a sinus ... in contrast to RBBB ... cardiology #diagnosis #electrocardiogram
Hallmark ECG features of Ventricular Tachycardia (VT)
AV indicates atrioventricular; LAD, left axis deviation; LBBB, left bundle
axis deviation; LBBB ... axis deviation; RBBB ... VTach #ECG #EKG #Electrocardiogram
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
• Lead V1 - LBBB ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
Absence of typical RBBB ... or LBBB morphology ... beats (normal sinus ... complex of normal sinus ... Brugada algorithm
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... consistent with either LBBB ... or RBBB? ... Interpretation #ECG #EKG #Electrocardiogram
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
• Alternating RBBB ... /LBBB with syncope ... unclear origin • Sinus ... without symptoms • RBBB
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
Embolism - Sinus ... or incomplete RBBB ... AcutePE #HighRisk #Electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Ml, WPW, LVH, LBBB ... MI, WPW, RVH, RBBB ... ) - WideQRS: RBBB ... leads slurred S), LBBB ... EKG #diagnosis #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
diagnosing MI in LBBB ... Pacemaker 1) Identify LBBB ... or Pacemaker LBBB ... conducted 2) LBBB ... Checklist #EKG #electrocardiogram
LAD
IWMI
LAHB
RAD
[PHB
RVH
Lateral wall infarct
Lead reversal
Dextrocardia
Wide ORS
RBBB - terminal delay
[BBB
IVED
WPW = delta wave
Hyperkalemia
Type l antiarrhythmic drugs
Pacemaker
ST elevation
Early repolarization
terminal delay [BBB ... IVH with Strain BBB ... Septal hypertrophy Sinus ... pause Sinus arrest ... #LBBB #IVED #WPW