18 results
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... Short QT <300-360 ms ... Wong @mchlwng #Approach ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... : Differential diagnosis ... more of AVRT in WPW ... #ekg #differential ... #cardiology
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 ... #labeled #clinical
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
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Evaluation Algorithm ... score to guide an approach ... Ask about: - Changes ... - History - EKG ... #Evaluation #diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... + negative T WPW ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... #EKG #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... abberancy - N B Afib + WPW ... different P waves in lead ... bradyarrhythmia #ECG ... #EKG #diagnosis
Chest pain after AFib ablation. What’s the most likely diagnosis?

...

You are all correct: the patient had
the most likely diagnosis ... You are all correct ... : the patient had ... MusaSharkawi #Clinical ... #Cardiology #EKG
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... stratification #diagnosis