9 results
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... TCA-like overdose - AVRT ... Diagnosis #Cardiology #EKG ... #ECG #Lead #AVR ... #Utility #ALiEM
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... (SVT) in wide cornplex ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Supraventricular Tachycardia EKG

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

Her heart
EKG Here’s a ... great ECG case of ... @EM_RESUS #AVRT ... #EKG #ECG #Electrocardiogram ... #Cardiology #EKG
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Tachycardia - Differential ... Diagnosis Table ... • ST vs SVT (AVNRT ... #Differential # ... Diagnosis #Table
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Control rate (e.g ... Treat underlying cause ... Control rate (e.g
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... • Ventricular tachycardia ... effect (e.g. αblockers ... effect (e.g. sedation ... Classification #Table
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
200ms from longer pause ... can function) Wide ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #differential
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... maneuvers: SVT-AVNRT ... or AVRT • Standing
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
condition with a wide ... ECG is vital while ... the determined cause ... #diagnosis #differential ... icu #clinical #pharmacology