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Limb Lead Reversal In order to understand why the leads look the way they do, we must
As for the aVL/aVF ... remember that aVL ... /aVF/aVR are all ... Cardiology #ECG #EKG #LimbLeads ... #aVR #aVF
Normal Sinus Rhythm - ECG Diagnosis Normal sinus rhythm (NSR) is an impulse that originates in the
leads I, II and aVF ... • inverted in aVR ... leads III and aVL
Pulsating Neck AV Fistula on Physical Exam 40 year old female patient, prior history of CKD on
Pulsating Neck AV ... Typically AV fistulas ... of congenital AVFs ... jugular #carotid #AVF
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 Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... preexcitation with AF ... (AF + WPW) ... - Avoid AV nodal ... #Tachycardia #Treatment
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
perspective: II, III & aVL ... inferior leads), I & aVL ... as you can see aVR ... contiguous lead (aVR ... contiguous I, aVL
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Syndrome (SSS) • AV ... Fibrillation (AF ... node: AV re-entrant ... tachycardia (AVRT), AV ... Fibrillation (V-Fib, VF
Left Anterior Fascicular Block on EKG • Left axis deviation (LAD) (-45 degrees to -90 degrees)
in leads I and aVL ... leads II, Ill, aVF
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
is positive in aVR ... negative in I + aVF ... (> 160ms) - AV
Knuckle Sign on ECG - Acute Pericarditis Electrocardiogram of a 68-year-old woman two days after coronary artery
depression in aVR ... depression in I, II and aVL ... knuckle’ sign) in aVR
Lyme Disease: Early and Late Stage Treatment Stage 1. Localized • Doxycycline, amoxicillin, cefuroxime x 10-14d Stage 2.
and Late Stage Treatment ... • 1st degree AVB ... Lyme #Disease #treatment
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