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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 ... S1Q3T3 #ECG #EKG #Electrocardiogram ... #Cardiology #Clinical
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
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
with an acute pulmonary ... in V1 - V4 #Clinical ... #criticalcare #cardiology ... #ECG #Electrocardiogram
Dextrocardia on EKG
 • Limb leads look like LA ←→ RA transposition
 • V1 ←→ V2
predominantly negative ... Dextrocardia #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
up, slow down; "negative ... • V1: Broad & negative ... aflutter #ecg #ekg #electrocardiogram ... #cardiology #clinical
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
at the J point (negative ... - are abnormal electrocardiogram ... EmergencyMedicine #Cardiology ... #osbornwaves #Electrocardiogram ... #ECG #Clinical
Wellen’s waves are biphasic with a tight positive, then negative deflection and evolve to become symmetrically
positive, then negative ... biphasic #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
considered to have ’relative ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
CTI-independent flutter • Negative ... aflutter #ecg #ekg #electrocardiogram ... #cardiology #clinical