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

 - Acute
Lead aVR on EKG ... Lead aVR can provide ... TCA-like overdose - AVRT ... Diagnosis #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 ... • Classic EKG ... ddx: AVNRT, AVRT ... tachycardia (SVT ... #AVR #leadAVR #ecg
Supraventricular Tachycardia EKG

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

Her heart
great ECG case of ... @EM_RESUS #AVRT ... #Tachycardia #EKG ... #ECG #Electrocardiogram ... #Clinical
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... vagal maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... evaluating for other causes ... Drive: • Sinus Tachycardia ... Changes • STE in aVR
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... leads with STE in avR ... inversion - STE avR ... #Ischemia #ECG ... #EKG #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
w/ BBB (3) SVT ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... point • De Winter syndrome ... elevation in aVR ... #Equivalents #ECG ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... depression in aVR ... depression in aVR ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the De Winter ECG ... subtle STE in aVR ... Seen in 2% of acute ... #Cardiology #EKG ... #ECG #DeWinters