Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Hypothermia on EKG
 β€’ J (Osborn) waves
 β€’ PR, QRS, and QT prolongation
 β€’ Various bradyarrythmias
Hypothermia on EKG ... β€’ PR, QRS, and QT ... osborn #waves #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis
TCA Overdose on EKG
 β€’ Sinus tachycardia
 β€’ QRS prolongation
 β€’ QT prolongation
 β€’ Rightward deviation
TCA Overdose on EKG ... prolongation β€’ QT ... antidepressants #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Serial EKGS in pts ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Electrocardiographic Features of Digoxin Toxicity
 β€’ Virtually any arrhythmia is possible. None specific for digoxin toxicity
Shortening of QT ... digitalis #Toxicity #Electrocardiogram ... #ekg #ecg #toxicology ... #cardiology #diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
β€’ ↑ Ca - short QT ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram
Normal QT Interval Measurement
General rule: QT interval should be < 1/2 RR interval
   -
Normal QT Interval ... General rule: QT ... #Measurement #cardiology ... #diagnosis #ecg ... #ekg #electrocardiogram
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... Normalization Spodick's sign ... #Pericarditis #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis
QT / QTc Interval Measurement in Irregular Rhythms
2 Approaches:
 β€’ Measure and calculate the QTc for
QT / QTc Interval ... intervals on the EKG ... Irregular #Rhythm #cardiology ... #diagnosis #ecg ... #ekg #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
DANGER - Short QT ... : ↑ca - Long QT ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Interval: β€’ QT ... formula: QTC = QT ... @AmyChung #EKG ... #Electrocardiogram ... #cardiology #diagnosis