Ashutosh Singh

*PROS & CONS of MD/DNB MEDICINE* Based on my little understanding. Hope it helps #NEETPG2023 candidates. Medicine as a subject demands a great deal of mental exercise and an analytical attitude to garner a decent clinical acumen. 1/n #MedTwitter #medicine #counselling

@TrackYourHeart Osborn

A young man was brought to the emergency department with altered mental status & severe hypothermia. What ECG abnormality is mainly noticeable here?

@baramink ECG 2 - monomorphic VT with exit site localization Postero-Apical (OM territory) the cause of VT could be scar in the LCX tx . Needs echo for thickness / MRI

1- #ECG 1 24 y man admitted with palpitations no PMHx . Dx ? 2- ECG 2-3 : 70 y man hx of pci to proximal LCx/mild LVSD Oct 25 , c/o sob ECG 2 . LOC in ER #shocked to SR ECG 3-4 . Angio patent stent no new lesions . Cause of #VT ? . #CardioEd #Cardiology

@syamkumarmd SVT with aberrancy AF with LBBB

WCT. What is the likely diagnosis here?

@Sports_Fan7 Posterior wall MI Possibly acute MR due to Papillary muscle involvement that has caused acute pulmonary edema

Middle-aged gentleman with chest discomfort and acute pulmonary edema.

@AnarKerimxan @ecgandrhythmRoe @MiguelP23970914 @Arron_Pearce_ @ecgrhythms @amalmattu @MertAvsever @koggelnoggel @Frances98392343 @TheECGMedic @DrRazi4 @Ecgloverr @MergencyFe @EM_RESUS @lila_enis @KostekMilan No visible definite P wave in inferior leads and V1 P wave bumps on T wave in precordial leads AT>ST with LBBB

60-year-old man. What is the rhythm? @ecgandrhythmRoe @MiguelP23970914 @Arron_Pearce_ @ecgrhythms @amalmattu @MertAvsever @koggelnoggel @Frances98392343 @TheECGMedic @DrRazi4 @Ecgloverr @MergencyFe @EM_RESUS @lila_enis @KostekMilan

@TrackYourHeart Giant T inversions in precordial leads- Yamaguchi Apical HOCM

A. 53-year-old man presented with syncope. What's the most likely diagnosis ⁉️

@TrackYourHeart Shark finn LAD OMI

CP What's your take?

@Dr_Shiv_kumar_ @ServiceMan2014 Though sgarbossa negative aVL shows STE This pt had LAD prox 90% tropI high

@AshutoshSinghMD @ServiceMan2014 NSIVCD + Negative Modified Sgarbossa: + Appropriate discordance seen here + LVH & Borderline 1st degree AVB? 🤔

56yr/male, Hypertensive, p/w Mild chest Discomfort What’s wrong with his ECG ? Will post the findings with explanation tomorrow #CardioEd #ECG #MedTwitter

@TupaEmondi @nachitogentp53 In this patient trop I was elevated, LAD prox 90% lesion

@nachitogentp53 @AshutoshSinghMD You are correct When I saw the traces the anterior leads was telling me scarbossa first And the avL showing the hump

@DrVocal_ Yes

@AshutoshSinghMD Lateral wall mi ? .... LVH, LBBB,

@Chakrabarti27 Elevated

@AshutoshSinghMD LBBB , LVH Normal axis No MI apparently, what's Trop I?

@isthiseasymode2 Though Sgarbossa criteria is not met, avL shows concordant ST elevation… this pt had elevated trop I and prox LAD OMI concordant ST seg in lat leads in typical clinical settings should warrant Imaging

@AshutoshSinghMD Most concerning lead honestly aVL with the concordant elevation, I may have elevation cancelling out the expected ST dep as well, i dont think it meets sgarbossa >25% rule in v1 v2 tho

@TrackYourHeart Atrialised RV… Ebstein

Diagnosis?

@smithECGBlog @PMcardioApp Subtle ST elevation in aVR, V1, (STE V1>aVR) reciprocal ST depression in inferior leads ....proximal LAD OMI > LMCA

Do not interrupt the physician to show him/her this “Normal ECG”!! (Unless he/she uses the Queen of Hearts). drsmithsecgblog.com/do-not-interru… @PMcardioApp

@DocPriyamMD @docakx If it was a post MI case, the site of exit would be- left posterobasal Otherwise post fascicular VT

ECG Experts: Without providing any other information, can you say the Diagnosis and also the origin of tachycardia?

@TrackYourHeart PDA left to right shunt , trivial-mild PR, dilated MPA

Beautiful Clip. What's your diagnosis?

@DrRajeshG1 Raised jVp absent a prominent v and y RV dysfunction Atrial fibrillation

JVP for residents. Tell me 2 important inferences from JVP

@DrRajeshG1 RSOV to RVOT

Acute heart failure in a 34 year old male. He has a loud continuous thrill and murmur along upper left sternal border.

@DrRajeshG1 Prominent x and y decent

Not only the Internal Jugular Vein but the External jugular vein also has something to tell the doctor. A 65 year old male with progressively worsening effort dyspnoea of 2 years duration. Your comments.