11 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... • Classic EKG ... tachycardia (SVT ... #electrocardiogram
Supraventricular Tachycardia EKG

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

Her heart
a 50-year-old lady ... @EM_RESUS #AVRT ... #Tachycardia #EKG ... #ECG #Electrocardiogram ... #Cardiology #EKG
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
1. aVR: Is the ... deflection in aVR ... same polarity) in all ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... SVT with BBB All ... is positive in aVR ... #Comparison #VentricularTachycardia ... #electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
old with chest ... atrial rhythm with ST ... The mother of all ... a PFO during a bowel ... #cardiology #electrocardiogram
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... as you can see aVR ... (aVR stands alone ... #EKG #diagram #Electrocardiogram ... EmergencyMedicine #Cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
• Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Physical exam • 12-lead ... ECG • Limited ... Arrhythmias: • SVT ... vagal maneuvers: SVT-AVNRT ... #Palpitations #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
leads with STE in avR ... - proximal LAD ... wave inversion in avL ... #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
elevation in aVR ... of the leads l, aVL ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram