Dr. Gerald Diaz @GeraldMD
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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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ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... V1 - Right atrial ... AcutePE #HighRisk #Electrocardiogram ... #EKG #Findings ... #Diagnosis
Multifocal Atrial Tachycardia (MAT) on EKG
 β€’ Heart rate > 100 bpm (usually 100-150 bpm)
 β€’
Multifocal Atrial ... MAT #Multifocal #Atrial ... #Tachycardia #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram
Classic Digoxin-Associated Arrhythmias
 β€’ Atrial fibrillation with an unusually slow ventricular response
 β€’ Atrial Fibrillation with
Arrhythmias β€’ Atrial ... Escape Rhythm β€’ Atrial ... #Arrhythmias #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... also a result of atrial ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
β€’ Malignancy 
β€’ Milk-alkali syndrome 
β€’ Vitamin D toxicity 
β€’
Hypercalcemia - EKG ... #ECG #Electrocardiogram ... #Differential # ... Causes #Diagnosis ... #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #Echocardiogram ... A4c #clinical #cardiology
β–Ί
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Multifocal Atrial ... β€’ Hypoxia β€’ Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 β€’ Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology