52 results
Pacemaker Evaluation Algorithm by Lorne Costello

#Diagnosis #ECG #EKG #Pacemaker #Evaluation #Algorithm #PPM
Pacemaker Evaluation Algorithm ... #Diagnosis #ECG ... #EKG #Pacemaker ... #Evaluation #Algorithm ... #PPM
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Tachycardia (MAT) on EKG ... Heart rate > 100 bpm ... usually 100-150 bpm ... #ECG #Electrocardiogram ... #labeled #clinical
Pacemaker Operating Modes
1 - Chamber paced
     A (atrium), V (ventricle), D (dual/both)
2
Modes 1 - Chamber paced ... response has no clinical ... modulation R - Paced ... the device will pace ... after a sensed or paced
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Pacemaker: - Paced ... from native + PM ... conducted 2) LBBB or PM ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
Supraventricular Tachycardia EKG

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

Her heart
Here’s a great ECG ... is around 255 bpm ... #ECG #Electrocardiogram ... #Cardiology #EKG ... #Clinical
Paced Rhythm ECG - Sgarbossa Positve

ECG A is the patient’s baseline ECG.  ECG B shows
Paced Rhythm ECG ... Sgarbossa Positve ECG ... >1mm in V4 #Paced ... #Sgarbossa #ECG ... #Concordance #Clinical
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... II (3) 60-100 bpm ... V-pacemaker, ↑K, ICD/pacer ... #Approach #ECG ... #EKG #diagnosis
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
Tachycardia This ECG ... rate about 150 BPM ... -LearnTheHeart ECG ... VentricularTachycardia #Clinical ... #Cardiology #ECG
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
Tach" at ~150 bpm ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
is a modified ECG ... flutter is suspected clinically ... standard 12 lead ECG ... leg electrode is placed ... Lead I on the ECG