24 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Subepicardial atrial injury ... • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... depression in aVR ... indicates atrial injury ... patients) stage 4 - ECG ... #EKG #Pericarditis
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... patients with ST ... features of the EKG ... #EKG #ECG #STElevation ... #STSegment #Differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... avR - proximal ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Short Stature - Differential ... Panhypopituitarism Treatment ... (e.g. ... Chronic UTI) • ... Cystic Fibrosis, CHF
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Medications, Spinal Cord Injury ... Decompensated CHF ... 3) UOP > 0.5 cc ... /kg/hr Sophia
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... assoc with 1K, AV ... Syncope #Syndromes #ECG ... #EKG #Checklist ... electrocardiogram #differential
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Findings: - AV ... (ST elevation), ... Low voltage Treatment
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Probably AVnRT or AVRT ... Control rate (e.g ... Control rate (e.g ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... elevation in aVR ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #