29 results
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
Wolff-Parkinson-White (WPW ... : wide complex because ... WolffParkinsonWhite #WPW ... #Cardiology #ECG ... #Clinical #Diagnosis
Wolff-Parkinson-White Syndrome

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

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
- Differential Diagnosis ... Algorithm Bradyarrhythmia ... WPW) - Narrow ... tachyarrhythmias #Cardiology ... #Algorithm #causes
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... in WPW (sens 71% ... tachycardia (SVT) in wide ... #AVR #leadAVR #ecg ... #cardiology
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
- Differential Diagnosis ... • ST vs SVT (AVNRT ... • HyperK vs AF+WPW ... #Differential #Diagnosis ... #cardiology
Supraventricular Tachycardia EKG

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

Her heart
Here’s a great ECG ... case of a 50-year-old ... @EM_RESUS #AVRT ... #Cardiology #EKG ... #Clinical
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Converts - Probably AVnRT ... Treat underlying cause ... #management #cardiology ... #algorithm
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... Evaluation of Regular ... , Wide-Complex Tachycardia ... Interpretation #ECG ... #Diagnosis #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Wide-Complex Tachycardia ... with AF (AF + WPW ... nodal agents (e.g ... #management #cardiology ... #algorithm
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... the case as Typical ... that’s called “clinical ... PhysicalExam #JVP #Cardiology