12 results
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
) on EKG • Regular ... complexes >120 ms ... • Capture and fusion ... #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... ST elevation in aVR ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
17-year-old male s/p syncopal episode. #Brugada type 3 seen on 12 lead #EKG. Diagnosis confirmed by
seen on 12 lead #EKG ... by Pediatric #Cardiology ... #cardiology #ekg ... #electrocardiogram ... #peds #pediatrics
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... : Differential diagnosis ... • Classic EKG ... #electrocardiogram ... #diagnosis #ekg
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Tachycardia 1. aVR ... deflection in aVR ... dissociation (fusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
2ms spike - Fusion ... b) Concordant STD ... #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Fibrillary = afib • Saw-Tooth ... Dominant R wave in aVR ... all leads except aVR ... #Electrocardiogram ... #cardiology #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
LBBB, LAFB - RAD ... Short QT <300-360 ms ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... - proximal LAD ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - Fusion beats ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology ... #diagnosis #electrocardiogram