11 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 ... #electrocardiogram
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 ... Is it wide or narrow ... @EM_RESUS #AVRT ... #EKG #ECG #Electrocardiogram
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
bpm) • Sinus Bradycardia ... • AVRT (ie ... - Wide Complex ... aberrancy - Wide ... Diagnosis #Algorithm #causes
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Tachyarrhythmias - HR > 100 Wide ... 60 (1) Sinus bradycardia ... 200ms from longer pause ... can function) Wide ... #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Treat underlying cause ... Treat underlying cause ... #Treatment #management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... dysfunction • Bradycardia-tachycardia ... maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Bradyarrhythmias • Sinus bradycardia ... • Sinus pauses ... • AV block ... • Ventricular tachycardia ... Classification #Table #Causes
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Causes: thrombus ... : hypotension, tachycardia ... Consider thrombolysis e.g ... mainstay of initial management ... Anesthesiology #Anesthesia
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... : central line/wire ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management