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#ECG Education for Physician Assistants & Nurse Practitioners

Joined October 2020
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Thoughts on this rhythm?
27
23
110
24,418
Answer: Ventricular tachycardia
1
9
945
Explain V3
14
15
74
28,578
20
15
1
54
15,526
Chest pain and ST elevation, in sequence @RobertHermanMD @smithECGBlog @EM_RESUS @BrooksWalsh @DidlakeDW
10
19
5
34
16,881
Replying to @ecgandrhythmRoe
Differentiation of WCT…, 〈Brugada Algorithm〉 ・No RS in V1-6 ➥VT is likely 〈Vereckei aVR Algorithm〉 ・Initial q wave>40 msec ➥VT is likely +"Positive concordance" in chest leads ▷▷▷VT is likely, I think. Using this figure, the origin of this VT is "RBLI pattern" ➥Antero-septal wall side of LV origin🧐🧐🧐
2
3
20
1,405
65 year old chest discomfort. Thoughts?
26
9
1
44
8,190
Another interesting case. 60 year old female with history of IgG lambda myeloma presented to the ER in SVT. Found to have pericardial effusion with suspicious LV mass. Pericardial fluid positive for lambda light chain restricted population of plasma cells. Diagnosis: plasmacytoma causing malignant pericardial effusion.
1
9
42
3,027
Interesting case. 65 year old male with chest pain. Found to have splenic rupture on imaging. Taken to the OR for splenectomy. 2L blood loss. Initial Hgb 10 but down to 7 g/dL postoperatively. However, on chart review, initial troponins continued to rise over next few days. Finally, ECG obtained. Thoughts? Demand ischemia or occlusion?
13
5
2
20
6,801
Here I break down an #ECG with a Right Coronary Artery (RCA) occlusion and Complete AV Block 😁 Link to YouTube ⤵️ youtu.be/Nk-i2BRO0OU?si=of2E…
2
1
16
1,844
50 year old male. #ECG after successful resuscitation after VFib arrest. Proximal RCA occlusion ➡️ stented. Second ECG is after stent placed later that day.
3
5
1
25
2,822
Sometimes it’s nice to see a textbook RCA occlusion.
7
16
2
60
5,996
57 year old with chest pain. Thoughts?
5
9
23
3,067
82 year old with old MI three months ago. Thoughts?
9
8
1
30
3,510
Answer: Non-Sustained Ventricular Tachycardia
2
4
841
Interesting #ECG strip. What do you think?
13
3
1
19
3,920
Older patient with chest pain. Thoughts?
14
11
3
39
13,995
Look closely at this #ECG!! Rhythm?
11
6
2
32
6,069
Answer: Sinus bradycardia with junctional escape, ventricular bigeminy (multifocal)
2
3
803
#ECG rhythm? Why is there a pause at the end?
11
5
1
27
3,637
Answer: Sinus rhythm, Right Bundle Branch Block (RBBB), Blocked PAC
1
2
419
What do you think about this #ECG? VT or no?
27
20
2
84
25,342
Answer: Ventricular Tachycardia
2
3
784