27 results
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... "flipping" the EKG ... #STEMI #flipping ... #flipped #EKG # ... #clinical #cardiology
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Anatomical Differential ... SA node: Sinus bradycardia ... re-entrant tachycardia (AVNRT ... #Diagnosis #Causes ... #cardiology
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
widening • Sinus bradycardia ... waves • Pseudo-STEMI ... #Hyperkalemia #EKG ... #cardiology #diagnosis ... #clinical
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... bpm) • Sinus Bradycardia ... Aflutter • AVNRT ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... depression in VI-V2 - posterior ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Supraventricular Tachycardia EKG

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

Her heart
case of a 50-year-old ... @EM_RESUS #AVRT ... #Tachycardia #EKG ... #Cardiology #EKG ... #Clinical
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
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... maneuvers: SVT-AVNRT ... bending over: AVNRT ... #Palpitations #Cardiology ... #Differential #
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