46 results
Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
 • All AV nodal
with RVR: • All ... at bedside • Cardiology ... PreExcitation #clinical ... #ecg #ekg #electrocardiogram ... #cardiology
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... QRS interval on EKG ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... Subepicardial atrial ... #electrocardiogram ... #differential #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Ectopic atrial rhythm ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Multifocal Atrial ... morphologies in the same lead ... Tachycardia #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Echocardiogram A4C ... ECG with anterolateral ... #LAD #occlusion ... #clinical #pocus ... #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ve in I, II - LAD ... , ectopic atrial ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Severe Left Atrial Enlargement on Echocardiogram
Have you ever seen a left atrium this big!?!? 
LA diameter
Severe Left Atrial ... LA diameter > 7 ... Enlargement #Severe #Cardiology ... Echocardiogram #Clinical ... #POCUS #A4C
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
axis deviation (LAD ... in leads I and aVL ... Block #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #labeled #clinical