24 results
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... "flipping" the EKG ... #flipped #EKG # ... ECG #Electrocardiogram ... #clinical #cardiology
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... counting of HR by EKG ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #clinical
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Supraventricular Tachycardia EKG ... Here’s a great ECG ... #ECG #Electrocardiogram ... #Cardiology #EKG ... #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... depression in VI-V2 - posterior ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... excludes other differentials ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... STD in V2 (posterior ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... #Palpitations #Cardiology ... #Differential #
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... elevation in aVR • Posterior ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Clinical presentation ... Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... #cardiology #MRI
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #differential