ECG Reid

@ecgandrhythmRoe @EM_RESUS @UlhasDr @The_Nanashi_O @DidlakeDW @ecgrhythms @AThomazAndrade @willyhfrick @DaveRichley @Carlos_Penate6 @EcgOxford @syamkumarmd @Arron_Pearce_ @DrRazi4 @drbasitmasoodi @FloydECGs Team VT on this one 😁

This ECG was sent to me with the question: SVT with RBBB aberration or VT? @EM_RESUS @UlhasDr @The_Nanashi_O @DidlakeDW @ecgrhythms @AThomazAndrade @willyhfrick @DaveRichley @Carlos_Penate6 @ECGOxford @syamkumarmd @Arron_Pearce_ @DrRazi4 @drbasitmasoodi @FloydECGs

@jalosmar @PendellM @Arron_Pearce_ @anais_dahoumane @ecgandrhythmRoe @EM_RESUS @smithECGBlog @AntoOhanian @BrooksWalsh @drbasitmasoodi @ECGEPSCADEVICE @ecgotaku @EcgOxford @EcgsOnly Smells like Pericarditis, but I have been fooled many of times!

Male, 51 YO. CP since 1h ago. @PendellM @Arron_Pearce_ @anais_dahoumane @ecgandrhythmRoe @EM_RESUS @smithECGBlog @AntoOhanian @BrooksWalsh @drbasitmasoodi @ECGEPSCADEVICE @ecgotaku @EcgOxford @ECGwithReid @EcgsOnly

@ecgandrhythmRoe Pacemaker interrogation ➡️ VT 😁

@ECGwithReid Narrow complex tachycardia; what is the answer @ECGwithReid ?

Thoughts on this rhythm?

Answer: Ventricular tachycardia

@heartsECGcourse @ECGcases @EMCases RCA occlusion until proven otherwise! Inferior hyper acute T waves, posterior involvement, complete heart block! High lateral reciprocal changes

60 year old with epigastric pain and nausea, STEMI negative. What do you think? @ECGcases @EMCases #ECG #EKG #ECGinterpretation #foamed #MedEd #medstudent #resident #nurse #paramedic #emergencymedicine #CardioTwitter

@willyhfrick @EM_RESUS @BrooksWalsh @FloydECGs @DidlakeDW @The_Nanashi_O @EcgsOnly @RobertHermanMD @DrRazi4 @Vadeboncoeur_Al @DrparrayMD RCA culprit here. I think I see sinus tachycardia with intermittent 2:1 AV block (best seen in V2) 🤔

Rhythm? Culprit?

Explain V3

What is the rhythm? hqmeded-ecg.blogspot.com/2024/04/what-i…

Chest pain and ST elevation, in sequence @RobertHermanMD @smithECGBlog @EM_RESUS @BrooksWalsh @DidlakeDW

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🧐🧐🧐

@IrmaMDv Personally, I don't think there are two different competing atrial and ventricular rhythms. Can see similar WRS widening in some of the PAC's. Post tachycardia pause. I vote some sort of SVT/Atrial-based tachycardia with aberrancy. Open to other opinions 😀!

Are there two rhythms that compete with each other🤔? Sinus and AIVR, with fusion beats? 🤷🏼‍♀️

Ha! 3 #holter clips of the same patient #ECG

@heartsECGcourse Likely warrants provocative testing for Brugada.

50 year old with syncope. Is this ECG normal? #ECG #EKG #FOAMed #CardioEd #CardioTwitter #medstudent #MedstudentTwitter #paramedic #EmergencyMedicine

@ecgandrhythmRoe Looks like a few episodes of unsensed atrial depolarization!

PM patient; what is wrong?

65 year old chest discomfort. Thoughts?

@ecgandrhythmRoe Pending cath ! We will see.

@ECGwithReid Maybe a type 2 myocardial infarction; the RCA is not severely narrowed or occluded, but the drop in Hb has nevertheless triggered an IWMI with posterior involvement?

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?

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.

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…

50 year old male. #ECG after successful resuscitation after VFib arrest. Proximal RCA occlusion ➡️ stented. Second ECG is after stent placed later that day.