14 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... bradyarrhythmia #ECG ... #EKG #diagnosis
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
This ECG shows ... establish the diagnosis ... -LearnTheHeart ECG ... #Cardiology #ECG ... #EKG #Electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Possible atrial flutter ... Control rate (e.g ... possible atrial flutter ... Control rate (e.g ... #Treatment #management
High-grade AV Block aka Advanced AV Block
 • During sinus rhythm, when 2 or more P
• During sinus ... • This is a clinically ... #Advanced #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
presence of AV block ... #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram ... #variants #clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Unexplained sinus ... tachycardia • ... gallop • Abnormal ECG ... #Management #Cardiology
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
presence of AV block ... #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram ... #variants #clinical
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Saw-Tooth = Atrial Flutter ... @AmyChung #EKG ... Interpretation #ECG ... #cardiology #diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... Pacemaker 3rd Degree, Complete ... degrees #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology