17 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 ... with aberrancy in wide ... #Cardiology #EKG ... #ECG #Lead #AVR
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ddx: AVNRT, AVRT ... (SVT) in wide cornplex ... #AVR #leadAVR #ecg ... #cardiology
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 ... #cardiology #algorithm
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
- Orthodromic AVRT ... - Antidromic AVRT ... : wide complex because ... WolffParkinsonWhite #WPW #Cardiology ... #Clinical #Diagnosis
Supraventricular Tachycardia EKG

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

Her heart
Supraventricular Tachycardia ... great ECG case of ... @EM_RESUS #AVRT ... #Cardiology #EKG ... #Clinical
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
- Differential Diagnosis ... • AVRT (ie ... - Wide Complex ... tachyarrhythmias #Cardiology ... #Algorithm #causes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Diagnosis Table ... • ST vs SVT (AVNRT ... abnormality • Beware AV ... #Differential #Diagnosis ... #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... or AVRT • Standing ... bending over: AVNRT ... Red Flag Symptoms ... #Palpitations #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Tachyarrhythmias - HR > 100 Wide ... 200ms from longer pause ... can function) Wide ... #EKG #diagnosis ... electrocardiogram #cardiology
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