12 results
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
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Septal (V1-2) • Anterior ... @AmyChung #EKG ... #Electrocardiogram ... #cardiology #diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... #EKG #Electrocardiogram ... #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
- RAD: AntLat MI ... Short QT <300-360 ms ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... in avL - early inferior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (-) EM ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... #pocus
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Anterior Akinesia ... getting 12 lead ECG ... Diagnosis? ... Echocardiogram #ultrasound ... #Cardiology #clinical
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
Inverted P waves in inferior ... rhythm if the PRI ... atrial #rhythm #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
in-hospital mortality in inferior ... MI • PAPi < 1.85 ... Ahmed Ghoneem, MD MSc ... artery #catheter #diagnosis ... #cardiology #swanganz