14 results
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
axis deviation (LAD ... in leads I and aVL ... Fascicular #Block #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... : Differential diagnosis ... #electrocardiogram ... #diagnosis #ekg ... #differential #cardiology
Normal Sinus Rhythm - ECG Diagnosis
Normal sinus rhythm (NSR) is an impulse that originates in the
Diagnosis Normal ... leads III and aVL ... leads V4-V6 (in 12-lead ... #diagnosis #ekg ... #ecg #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... wave inversion in avL ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT with BBB All ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology ... #diagnosis #electrocardiogram
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... limb ischemia, bowel ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... troponin elevation Diagnosis ... changes on tele/ECG ... tests in cath lab ... #diagnosis #management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... ventricle pacing lead ... #differential #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram