15 results
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
axis deviation (LAD ... in leads I and aVL ... #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
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
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
of conduction block ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... • Predictor of arrhythmia ... #electrocardiogram ... #diagnosis #ekg
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... isolated to I & aVL ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram ... #Cardiology #Clinical
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Phasic Sinus Arrhythmia ... presence of AV block ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram ... #variants #clinical
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
bundle branch block ... establish the diagnosis ... VentricularTachycardia #Clinical ... #Cardiology #ECG ... #EKG #Electrocardiogram
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Phasic Sinus Arrhythmia ... presence of AV block ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram ... #variants #clinical
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Cardiogenic shock, Arrythmias ... Pericarditis, Tamponade EKG ... Findings: - AV block ... agent, steroids, AC ... #Myocarditis #diagnosis