32 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... Adrenergic Drive: • Sinus ... Wave in V1 • Shift ... in relation to ECG ... AcutePE #diagnosis #cardiology
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... counting of HR by EKG ... QRS widening • Sinus ... #EKG #ECG #electrocardiogram ... #clinical
Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
complex (PAC) - ECG ... look like the sinus ... #diagnosis #ekg ... #ecg #electrocardiogram ... #clinical
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
pacemaker - ECG ... the pacemaker shifts ... #pacemaker #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Flecainide Toxicity on ECG ... patient with chronic atrial ... Flecainide #Toxicity #ECG ... #EKG #Electrocardiogram ... #Cardiology #Clinical
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Wandering Atrial ... the pacemaker shifts ... #diagnosis #ekg ... #ecg #electrocardiogram ... #variants #clinical
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
"Sinus Tach" at ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
mmol/L - Consider cause ... Treatment guided by clinical ... scenario, ECG and ... Gluconate IV Shift ... Prevention - Consider cause
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Wandering Atrial ... the pacemaker shifts ... #diagnosis #ekg ... #ecg #electrocardiogram ... #variants #clinical