13 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... tachycardia ddx: AVNRT ... suggestive more of AVRT ... tachycardia (SVT) in wide ... #AVR #leadAVR #ecg
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 ... with aberrancy in wide ... #ECG #Lead #AVR
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
- Orthodromic AVRT ... - Antidromic AVRT ... : wide complex because ... WPW #Cardiology #ECG ... #EKG #Electrocardiogram
Supraventricular Tachycardia EKG

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

Her heart
Here’s a great ECG ... case of a 50-year-old ... Is it wide or narrow ... computer thinks it’s wide ... @EM_RESUS #AVRT
Arrhythmias - Differential Diagnosis Algorithm

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

Regular Rhythm - Narrow Complex
• ST vs SVT (AVNRT ... , OAVRT, AFIutter ... whether AF is cause ... Tx: Underlying cause ... Narrow #Irregular #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Converts - Probably AVnRT ... or AVRT - Observe ... Control rate (e.g ... Treat underlying cause ... Treat underlying cause
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
A waves during AVNRT ... Physical Exam In AVNRT ... minute=rate of AVNRT ... as Typical AVNRT ... Cannon #Awaves #AVNRT
Visual Guide to AV Nodal Reentrant Tachycardia (AVNRT) - Pathophysiology
 - Dual AV nodal physiology is
Reentrant Tachycardia (AVNRT ... substrate for AVNRT ... what known as AVNRT ... ECG usually shows ... #Tachycardia #AVNRT
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... maneuvers: SVT-AVNRT ... or AVRT • Standing ... bending over: AVNRT ... Red Flag Symptoms