13 results
WPW, junctional trigeminy

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76yoM with palpitations, near-syncope; what's the dx?

- Dr. Amal Mattu @amalmattu

#WPW #junctional #trigeminy #EKG
WPW, junctional ... palpitations, near-syncope ... @amalmattu #WPW ... #EKG #ECG #Electrocardiogram ... #Clinical #Cardiology
WPW EKG after cardioversion of SVT

Here is the post-conversion ECG

The patient is now in Sinus Rhythm,
WPW EKG after cardioversion ... post-conversion ECG ... is strikingly short ... #EKG #ECG #Electrocardiogram ... #Clinical #Cardiology
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome WPW ... a delta wave, short ... WolffParkinsonWhite #WPW ... #Cardiology #ECG ... #EKG #Electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... 500 DANGER - Short ... QT <300-360 ms: ... #electrocardiogram ... #cardiology #interpretation
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... + negative T WPW ... Syncope #Syndromes #ECG ... #diagnosis #cardiology ... #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... abberancy - N B Afib + WPW ... SVTs - atrial/junctional ... #electrocardiogram ... #cardiology #differential
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
= AV junction ... junctional rhythm ... Interpretation #ECG ... #Electrocardiogram ... #cardiology #diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
but can include functional ... fractures • ED Management ... Wrist #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... Block in AV node: Junctional ... summary #Diagnosis #EKG ... #electrocardiogram ... #ecg #cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
in the lunate ("tea ... sit in lunate "tea ... Wrist #Carpal #Radiology ... #Orthopedics #Sports ... #MSK