Dr. Gerald Diaz @GeraldMD
39.9M 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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ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... V1 - Right atrial ... rotation - Atrial ... AcutePE #HighRisk #Electrocardiogram ... #Diagnosis
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
(EKG) Digoxin ... is a cardiac glycoside ... conduction Uses: - Atrial ... fibrillation and atrial ... #EKG #Cardiology
Classic Digoxin-Associated Arrhythmias
 β€’ Atrial fibrillation with an unusually slow ventricular response
 β€’ Atrial Fibrillation with
Arrhythmias β€’ Atrial ... ventricular response β€’ Atrial ... Escape Rhythm β€’ Atrial ... #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 ... other causes of cardio-pulmonary ... common finding) β€’ Atrial ... also a result of atrial ... #cardiology #electrocardiogram
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
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 β€’ Inferior leads:
Typical (Clockwise) Atrial ... Counterclockwise) Atrial ... Typical (Clockwise) Atrial ... Counterclockwise #Atrial ... #ekg #electrocardiogram
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 ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... Flutter β€’ Rapid atrial ... suggests a right atrial ... #ekg #electrocardiogram ... #diagnosis
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
Stenosis and Left Atrial ... Echocardiogram (a4c ... of underlying cardiac ... Mitral #Stenosis #Atrial ... #pocus
β–Ί
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... arterial catheterization ... However, when the diagnosis ... cardiogenic shock (eg ... pressure) -right atrial