10 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Counterclockwise) and Reverse ... Flutter on EKG ... Flutter • Inferior ... #ekg #electrocardiogram ... #cardiology #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... (Clockwise) Atrial ... • Inferior leads ... #ekg #electrocardiogram ... #cardiology #clinical
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... Septal (V1-2) • Anterior ... @AmyChung #EKG ... #Electrocardiogram ... #cardiology #diagnosis
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
Inverted P waves in inferior ... rhythm if the PRI ... #rhythm #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
: WPW, ectopic atrial ... Short QT <300-360 ms ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... Beside ultrasound ... root, and left atrium ... the patient had severe ... #Radiology #POCUS
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... inversions V1-V4 plus inferior ... Patient had severe ... #EKG #Electrocardiogram ... #clinical #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... ) EM resident ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
in-hospital mortality in inferior ... MI • PAPi < 1.85 ... correlate in the SHOCK trial ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology