22 results
Distinguishing Between Benign Early repolarization vs STEMI on EKG
#Diagnosis #Cardiology #ECG #EKG #Repolarization #STEMI #Comparison #Table
repolarization vs STEMI ... on EKG #Diagnosis ... #Cardiology #ECG ... #STEMI #Comparison ... #Table #ALiEM
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
narrow complex tachycardias ... from SVT with aberrancy ... in wide complex tachycardias ... #Diagnosis #Cardiology ... #AVR #Utility #ALiEM
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
Supraventricular tachycardia ... (SVT) is an abnormally ... supraventricular tachycardia ... #Clinical #MedStudent ... #Cardiology #EKG
Supraventricular Tachycardia EKG

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

Her heart
Supraventricular Tachycardia ... consistent with SVT ... EM_RESUS #AVRT #SVT ... #Cardiology #EKG ... #Clinical
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... strain showing tachycardia ... branch block, ST ... in V1 - V4 #Clinical ... #criticalcare #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... an isolectric ST ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... cardioversion • If known SVT ... nodal agents (e.g ... irregular protocol #Stable ... Treatment #management #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... in shock with VT ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior