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Pediatric ECG Interpretation Guide

1) Rate Calculation
2) Rhythm
3) QRS Axis
4) P Wave
5) ST Segment
6) QTc
7) QRS Complex
8)
4) P Wave 5) ST ... Segment 6) QTc ... peds #cardiology #Electrocardiogram
Causes of ST Elevation in ECG

#STElevation #STEMI #ECG #EKG #Electrocardiogram #Causes #Differential #ABCHELP #Mnemonic
Causes of ST Elevation ... STEMI #ECG #EKG #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... a) Concordant STE ... b) Concordant STD ... V1-V3 c) STE ... Checklist #EKG #electrocardiogram
The JT Interval and Pro-Arrhythmic Risk
Measured from the J-point to the end of the T-wave, the
JTc=QTc-QRS When ... Interval #JTInterval #QTc ... #electrocardiogram
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
on ECG - aVR ST ... > 1 mm - aVR ST ... segment elevation > ST ... EKG #Diagnosis #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
STEMI - J point STE ... 0.5mm downgoing ST ... line; upsloping ST ... - R/S >1 or ST ... EKG #diagnosis #electrocardiogram
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... anatomically oriented ST-segment
Sinus Arrhythmia - ECG Diagnosis
Remember in Sinus arrhythmia, the P to P varies by > 0.16
varies by > 0.16 sec ... diagnosis #ekg #ecg #electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
1) Upsloping ST ... (>= 1 mm) 2) ST ... TWaves #ECG #EKG #Electrocardiogram
Progression of EKG changes in ACS
 • Hyperacute T waves
 • ST depression and T waves
Hyperacute T waves • ST ... waves changes • ST ... EKG #ACS #ECG #electrocardiogram