11 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 ... in wide complex ... #EKG #ECG #Lead ... ALiEM
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... aVR in narrow cornplex ... 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 ... Is it wide or narrow ... @EM_RESUS #AVRT ... #Tachycardia #EKG ... #Cardiology #EKG
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
deflection not AVRT ... /AVNRT. ... Diagnosis #Management #cardiology ... #wide #narrow # ... algorithm #irregular
Arrhythmias - Differential Diagnosis Algorithm

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

Regular Rhythm - Narrow Complex
- Wide vs Narrow ... (AVNRT, OAVRT, AFIutter ... abnormality • Beware AV ... #Wide #Narrow # ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Narrow-Complex ... or AVRT - Observe ... Control rate (e.g ... Control rate (e.g ... #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
w/ BBB (3) SVT ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
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 ... #Palpitations #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Wide-Complex Tachycardia ... cardioversion • If known SVT ... nodal agents (e.g ... Treatment #management #cardiology ... #algorithm