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S1Q3T3 on ECG - Pulmonary Embolism Until Proven Otherwise

- Sam Ghali, M.D.
@EM_RESUS

#S1Q3T3 #ECG #EKG #Electrocardiogram #Cardiology
S1Q3T3 on ECG - ... Pulmonary Embolism ... @EM_RESUS #S1Q3T3 ... #ECG #EKG #Electrocardiogram ... #Cardiology #Clinical
ECG changes in Pulmonary Embolism
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Sinus tachycardia 
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Complete or incomplete RBBB 
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ECG changes in Pulmonary ... Embolism - Sinus ... #Embolism #AcutePE ... Electrocardiogram #S1Q3T3 ... #EKG #Findings
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... embolism with right ... branch block, ST ... #criticalcare #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... • Non-specific ST-T ... #EKG #Pulmonary ... #diagnosis #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... • Anemia • Medications ... #Cardiology #Differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs - Syncope ... 360ms) PE: RBBB, S1Q3T3 ... Wong @mchlwng #Syncope ... #EKG #Checklist ... #diagnosis #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
PALPITATIONS: Medications ... Pheochromocytoma • Pulmonary ... consciousness • Near-syncope ... , or syncope: Hemodynamically ... #Palpitations #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
QRS complex Pulmonary ... Embolism: • T-wave ... inferior leads • S1Q3T3 ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram