16 results
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
- Orthodromic AVRT ... - Antidromic AVRT ... : wide complex because ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... tachycardia ddx: AVNRT ... tachycardia (SVT) in wide ... #electrocardiogram ... #differential #cardiology
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
case of a 50-year-old ... @EM_RESUS #AVRT ... #ECG #Electrocardiogram ... #Cardiology #EKG ... #Clinical
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• Sick Sinus Syndrome ... Aflutter • AVNRT ... • AVRT (ie ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Converts - Probably AVnRT ... or AVRT - Observe ... Treat underlying cause ... #management #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
A waves during AVNRT ... Physical Exam In AVNRT ... as Typical AVNRT ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... The definitive treatment ... Delta wave) 2 Wide ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT ... #Palpitations #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... #electrocardiogram ... #cardiology #differential
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Pisa Syndrome (pleurothotonus ... the body to one side ... Caused commonly ... Treatment: anticholinergics ... #PhysicalExam #clinical