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S1Q3T3 on ECG - Pulmonary Embolism Until Proven Otherwise

- Sam Ghali, M.D.
@EM_RESUS

#S1Q3T3 #ECG #EKG #Electrocardiogram #Cardiology
S1Q3T3 on ECG - ... Pulmonary Embolism ... EM_RESUS #S1Q3T3 #ECG ... #EKG #Electrocardiogram ... #Cardiology #Clinical
Dextrocardia on EKG
 • Limb leads look like LA ←→ RA transposition
 • V1 ←→ V2
Dextrocardia on EKG ... predominantly negative ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... in V1 - V4 #Clinical ... #criticalcare #cardiology ... #ECG #Electrocardiogram
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Atrial Flutter on EKG ... up, slow down; "negative ... • V1: Broad & negative ... Flutter #aflutter #ecg ... #cardiology #clinical
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... considered to have ’relative ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... with caution in pulmonary ... disease or CHF) ... Treatment #management #cardiology
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• Normal or negative ... level <100 pg/ml EKG ... : • Negative for ... infarction • Gram negative ... differential #diagnosis #cardiology
Wellen’s waves are biphasic with a tight positive, then negative deflection and evolve to become symmetrically
positive, then negative ... TWaves #biphasic #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
at the J point (negative ... This EKG was recorded ... #Cardiology #diagnosis ... Electrocardiogram #ECG ... #Clinical