13 results
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... The mother of all ... a PFO during a bowel ... #cardiology #electrocardiogram
Supraventricular Tachycardia EKG

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

Her heart
case of a 50-year-old ... lady who presented ... This rhythm is all ... #ECG #Electrocardiogram ... #Cardiology #EKG
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... #electrocardiogram ... #differential # ... cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... seen in 34% of cases ... #EKG #Electrocardiogram ... #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
wave inversion in avL ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
different P waves in lead ... 200ms from longer pause ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... have fever - ACS ... limb ischemia, bowel ... unless worrisome EKG ... TLS #diagnosis #management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
reservoir bag and APL ... blood gas, 12-lead ... ECG, chest X-ray ... Airway #Pressure #Differential ... Checklist #Diagnosis #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... ventricle pacing lead ... voltage Other Causes ... #ecg #ekg #electrocardiogram
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... • Avoid ARB/ACE-I ... ., ACE/ARB) need ... #cardiology #treatment