13 results
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
- Telemetry Diagnosis ... • Lead V1 - LBBB ... Criteria • Lead ... V1 - RBBB Criteria ... VTach #diagnosis #cardiology
RBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • R >
RBBB Ventricular ... Tachycardia Criteria ... - Lead V1 - Telemetry ... Biphasic QRS #RBBB ... #cardiology #ekg
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
LBBB Ventricular ... Tachycardia Criteria ... - Lead V1 - Telemetry ... downstroke #LBBB ... #cardiology #ekg
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
diagnosing MI in LBBB ... or Pacemaker LBBB ... conducted 2) LBBB ... - Suspect STEMI ... #lbbb
Right Bundle Branch Block (RBBB) - EKG Diagnosis
EKG Criteria:
 • QRS > 0.12 seconds
 • Slurred
Branch Block (RBBB ... Diagnosis EKG Criteria ... or notched R in V1 ... BundleBranch #Block #RBBB ... Diagnosis #ECG #electrocardiogram
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
morphology in V1 ... consistent with either LBBB ... or RBBB? ... Interpretation #ECG #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 ... Absence of typical RBBB ... or LBBB morphology ... in contrast to RBBB
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... Depression in V1 ... STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Ml, WPW, LVH, LBBB ... MI, WPW, RVH, RBBB ... ) - WideQRS: RBBB ... (V1/V2 rsr', lat ... leads slurred S), LBBB
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
wide, can be new/old ... tall T wave in V1 ... , unless LBBB/LVH ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI