30 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... ) EM resident ... Metoprolol - VCU Ultrasound ... echocardiogram #plax
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... becoming acute anterior ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... An ECG may show ... the R wave in inferior ... larger shunt #ECG ... #EKG #Cardiology
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... without typical inferior ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... (e.g. ectopic atrial ... @AmyChung #EKG ... Interpretation #ECG
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... • Inferior leads ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... • Inferior leads ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical