14 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
aVR in narrow cornplex ... : AVNRT, AVRT, atrial ... (VT) from supraventricular ... ) in wide cornplex ... #AVR #leadAVR #ecg
Supraventricular Tachycardia EKG

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

Her heart
Tachycardia EKG ... Is it wide or narrow ... @EM_RESUS #AVRT ... #SVT #Supraventricular ... #Tachycardia #EKG
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 narrow complex ... in wide complex ... #ECG #Lead #AVR
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management

Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Supraventricular ... Tachycardia (SVT ... , AVNRT, AVRT, Atrial ... 4) Lie patient flat ... #Tachycardia #SVT
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
(>100 bpm) - Narrow ... • AVRT (ie ... WPW) - Narrow ... - Wide Complex ... Diagnosis #Algorithm #causes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
(AVNRT, OAVRT, AFIutter ... > SVT+conduction ... whether AF is cause ... Tx: Underlying cause ... abnormality • Beware AV
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... Diagnosis and Management ... - Narrow vs Wide ... deflection not AVRT ... /AVNRT.
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... vagal maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT ... Red Flag Symptoms
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... Tachyarrhythmias - HR > 100 Wide ... w/ BBB (3) SVT ... 200ms from longer pause ... can function) Wide
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... Converts - Probably AVnRT ... or AVRT - Observe ... Treat underlying cause ... #Treatment #management