13 results
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... narrow complex tachycardias ... using the Vereckei criteria ... #Diagnosis #Cardiology ... #EKG #ECG #Lead
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Lead V1 - LBBB Criteria ... Lead V1 - RBBB Criteria ... RWPT) • Lead aVR ... VTach #diagnosis #cardiology ... #ekg #ecg #telemetry
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg ... #differential #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... ST elevation in aVR ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Probably AVnRT or AVRT ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
depression in aVL ... suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
If ventricular tachycardia ... WPW) - Avoid AV ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm