13 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ST elevation: Differential ... tachycardia (SVT) in wide ... #AVR #leadAVR #ecg ... #differential #
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Tachycardia - Differential ... Diagnosis Table ... • ST vs SVT (AVNRT ... abnormality • Beware AV ... #Diagnosis #Table
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... Aflutter • AVNRT ... • AVRT (ie ... aberrancy - Wide ... Diagnosis #Algorithm #causes
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 ... Is it wide or narrow ... computer thinks it’s wide ... @EM_RESUS #AVRT
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 ... Treat underlying cause
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... • AV block ... #Syncope #Differential ... Classification #Table ... #Causes
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... Tachyarrhythmias - HR > 100 Wide ... 200ms from longer pause ... can function) Wide ... electrocardiogram #cardiology #differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... warm extremities, wide ... uw_IMresidency #Shock #Differential ... #Diagnosis #table
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... or AVRT • Standing ... bending over: AVNRT ... Red Flag Symptoms
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
so-called ‘red flag ... • S - Saddle anesthesia ... - Emergency Causes ... constipation Differential ... #diagnosis #causes