13 results
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
- ECG Diagnosis ... • Variant of sinus ... arrhythmia Note ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus Arrhythmia ... Wandering Atrial Pacemaker ... Sinus #Arrhythmia ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus Arrhythmia ... Wandering Atrial Pacemaker ... Sinus #Arrhythmia ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... Recurrent/persistent rest ... Sustained ventricular arrhythmia ... low (1-2) risk, +ECG ... catheterization #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... #Approach #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
MI in LBBB or Pacemaker ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... findings: Sinus ... #AVR #leadAVR #ecg ... #diagnosis #ekg
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
: VARIANT OF SINUS ... ARRHYTHMIA - involves ... focus from the sinus ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
- ventricular pacemaker ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential