11 results
Electrocardiographic Features of Digoxin Toxicity
 • Virtually any arrhythmia is possible. None specific for digoxin toxicity
inverted/Biphasic T waves ... - BCM IM Residency ... digitalis #Toxicity #Electrocardiogram ... #ekg #ecg #toxicology ... #cardiology #diagnosis
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Sustained ventricular arrhythmia ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... - starts below ... #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #electrocardiogram
Type 1 Second-degree AV block, also known as Mobitz I or Wenckebach periodicity, is almost always
interval on the electrocardiogram ... (ECG) on consecutive ... by a blocked P wave ... #Clinical #EM #IM ... Mobitz1 #Mobitz #ECGEducator
Type 1 Second-degree AV block, also known as Mobitz I or Wenckebach periodicity, is almost always
interval on the electrocardiogram ... (ECG) on consecutive ... by a blocked P wave ... #Clinical #EM #IM ... Mobitz1 #Mobitz #ECGEducator
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
other causes of cardio-pulmonary ... finding) • Atrial Arrhythmia ... • Dominant R Wave ... AcutePE #diagnosis #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... STElevation #ST #STEMI ... #ecg #ekg #electrocardiogram
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
w/ early shock state ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Cardiac surgery? ... Anaphylactic >> IM
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... inversion • Arrhythmias ... • Start glyceryl ... consultation with cardiology