19 results
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
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
bradycardia, Sick Sinus Syndrome ... tachycardia (AVRT ... tachycardia (AVNRT ... #Diagnosis #Causes ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm

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

Regular Rhythm - Narrow Complex
Tachycardia - Differential ... • ST vs SVT (AVNRT ... abnormality • Beware AV ... #Differential # ... #cardiology
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 ... #Palpitations #Cardiology ... #Differential #
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(2) Sick Sinus Syndrome ... 200ms from longer pause ... can function) Wide ... electrocardiogram #cardiology ... #differential
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... excludes other differentials ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... • AV block ... • Ventricular tachycardia ... Subclavian steal syndrome ... #Syncope #Differential