9 results
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
, Wide-Complex Tachycardia ... #WideComplex #Tachycardia ... Interpretation #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
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
Hallmark ECG features of Ventricular Tachycardia (VT)
AV indicates atrioventricular; LAD, left axis deviation; LBBB, left bundle
of Ventricular Tachycardia ... (VT) AV indicates ... #VTach #ECG #EKG ... #Electrocardiogram ... #Diagnosis #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... #electrocardiogram ... #diagnosis #ekg ... #differential #cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... is positive in aVR ... - Brugada's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... inversion - STE avR ... #electrocardiogram ... #cardiology #STEMI
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
100 Wide (1) VT ... (1) Sinus tachycardia ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... depression in aVR ... block; and sinus tachycardia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram