18 results
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... Wong @mchlwng #Syncope ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
, e.g., due to arrhythmias ... carotid sinus syndrome ... further guide management ... and an initial ECG ... The treatment strategy
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... so called coved ST ... also a short QT syndrome ... #EKG #ECG #Diagnosis ... #Cardiology
17-year-old male s/p syncopal episode. #Brugada type 3 seen on 12 lead #EKG. Diagnosis confirmed by
year-old male s/p syncopal ... seen on 12 lead #EKG ... Diagnosis confirmed ... #cardiology #ekg ... #em #peds #pediatrics
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long QT Syndrome ... **Get baseline EKG ... in new syncope/ ... family history) Treatment ... #Diagnosis #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
believe that the ST ... segment is the only ECG ... #cardiology #occlusionMI ... myocardial #infarction #diagnosis ... #coronary #syndrome
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... Antiphospholipid syndrome ... hypovolemia), Meds ... /Treatments (Pressors ... #algorithm
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
organ damage • Treatment ... tetany/cramps, syncope ... unless worrisome EKG ... #TLS #diagnosis ... #management #hematology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
troponin elevation Diagnosis ... changes on tele/ECG ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Myocardial injury (ST ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology