15 results
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
complexes >120 ms ... from 50-110 beats per ... • Capture and fusion ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... thrombolysed with SK ... #Pericardial #effusion ... Echocardiogram #POCUS ... #clinical #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... not supply the PDA ... Wraparound #LAD #STEMI ... #cardiology #electrocardiogram
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
findings in acute PE ... evaluating for other causes ... supporting evidence of PE ... AcutePE #diagnosis #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Aortic dissection, PE ... big R or R/S>I STEMI ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
2ms spike - Fusion ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... segment at (or 40-60 ms ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... so, on an erect PA ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... See thread for POCUS ... seen in 34% of cases ... #EKG #Electrocardiogram ... #clinical #cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
for this case report ... of conventional STEMI ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology