Methaq Orman
115 posts


@PPodrid @Frances98392343 @syamkumarmd @MethaqOrman @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @DidlakeDW @DrRajeshG1 @AslangerE @adribaran @BrooksWalsh @doctor_roig @KostekMilan Partial and/or decremental conduction via the bundles is well documented.
heartrhythmjournal.com/article/S1547-…
sciencedirect.com/science/articl…
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25F no PMHX,CP, TP ⬆️not ↘️ (isoelctric line⬆️?) ,subtle ↘️ PR ⬇️,subtle ↗️ ST II, avf v3-v6 @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @DidlakeDW @syamkumarmd @DrRajeshG1 @AslangerE @DocNikko @adribaran @PPodrid @BrooksWalsh @doctor_roig @KostekMilan #ECG #CardioTwitter

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@Frances98392343 @syamkumarmd @MethaqOrman @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @DidlakeDW @DrRajeshG1 @AslangerE @adribaran @BrooksWalsh @doctor_roig @KostekMilan Bundle conduction is all or none. Incomplete bundles don’t exist. In this case, the small r’ in v1 is an ivcd to the rv and has been termed a crista pattern as the last part of the rv to be depolarized is the crista supraventricularis and conduction to this structure is delayed
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@Frances98392343 @syamkumarmd @MethaqOrman @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @DidlakeDW @DrRajeshG1 @AslangerE @adribaran @PPodrid @BrooksWalsh @doctor_roig I think this ECG is normal just like @syamkumarmd does.
Regarding V1-V2 pattern, it is a normal variant for me. Since there are no S waves in V6 or DI, I cannot call it an incomplete RBBB.
The most overdiagnosed and clin. irrelevant ECG DX is an incomplete RBBB as I could see.
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@MethaqOrman @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @DidlakeDW @DrRajeshG1 @AslangerE @adribaran @PPodrid @BrooksWalsh @doctor_roig @KostekMilan Looks essentially normal to me. In doubt, serial ECGs should be done
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@Bandaraalyami @argulian @ecgandrhythmRoe @DrRazi4 @ECGEPSCADEVICE @EM_RESUS @DrRajeshG1 @ecgrhythms Take care of long QT
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An 85-year-old female presented to the ED with chest pain
PMH of CAD s/p CABG, HTN,HLD and DM
BP:129/84 , HR 98 , O2 97 on RA
Trop :490
EKG as below
Thoughts 💭
#Cardiology #fellow #CardioTwitter
#MedTwitter #CardioEd #echofirst #ECG

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@ManualOMedicine -Almost Global concave STE
-Down Slopping of TP Segment - Spodick Sign
❗️Consistent with Acute Pericarditis

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This ECG is from a 25-year-old male presenting with 3 days of sharp central chest pain
- What’s your interpretation?
➡️ Interpretation and Answer: manualofmedicine.com/ecgs/ecg-case-…
#medtwitter #foamed #ecg #cardioed

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@AlkashkariWail إنا لله وإنا إليه راجعون ، البقاء لله، الله يرحمها ويحسن إليها
العربية

انتقلت الى رحمة الله تعالى عمتي شقيقة ابي مريم القشقري. اشهد الله تعالى إني عهدتها تؤدي الصلوات بالسنن في وقتها، تقرأ القران يوميا، تقوم الليل، تصل الرحم، صافية القلب. انزلتها قبرها اليوم بالمعلاه وفي وجهها نور.
اللهم خرجت من الدنيا بما قدرت لها بدون ولد ولا تلد، فيا ربي انك بكل جميل كفيل فاغفر لها ذنبها وارحمها وثبتها واجعل قبرها روضة من رياض الجنة، اللهم اجعلها في الفردوس الاعلى ووالدينا والمسلمين اجمعين الاحياء والاموات.
الرجاء الدعاء لها وجزاكم الله خير
العربية
Methaq Orman retweetledi

Different walls of the right ventricle seen on various #echofirst views.
#POCUS #FOAMed #MedEd
Courtesy: Venkatachalam S, et al. Echocardiography. 2017

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Methaq Orman retweetledi

Bad combo: #cardiomyopathy & heart block🧡🚧
▪️apple watch⌚️tracing
▪️#ECG w 2° heart block
▪️Diastolic MR/TR on #EchoFirst
▪️MV inflow pattern in 2:1
Rapid restrictive filling 🄔:
▪️longer diastolic time/↡HR🐌 ⇛ ↡CO,↓UOP
Did great w crt-p⚡️ #EPpeeps
🙏2 @JonChrispinMD
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@tc_gov خاطره، بدأ الحفر بجوار مسجد بن العباس اتمنى الا تنشأ مباني كبيرة بجوار المسجد تزاحم المشهد وهو رمز ديني و أثري هام مع تزايد الزيارات السياحيه له مؤخرا وأن تكرس الحدائق و المساحات الخضراء حوله كمعلم سياحي له مستقبل أراه واعدا . موفقين إن شاء الله
العربية

23 m,no PMHX, CP, exam & echo🆗,trop 🚀 1st ecg s/o pericarditis, 2nd ecg👇transient STE&⬇️vol, thoughts? @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @DidlakeDW @syamkumarmd @DrRajeshG1 @AslangerE @DocNikko @adribaran @PPodrid @BrooksWalsh @doctor_roig #ECG #CardioTwitter


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@EcgOxford @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @DidlakeDW @syamkumarmd @DrRajeshG1 @AslangerE @DocNikko @adribaran @PPodrid @BrooksWalsh @doctor_roig he is new to us, no medical records for him
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@MethaqOrman @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @DidlakeDW @syamkumarmd @DrRajeshG1 @AslangerE @DocNikko @adribaran @PPodrid @BrooksWalsh @doctor_roig Interesting traces!!
With such rapid changes resolving, I think Coronary Spasm seems the most plausible explanation
I don’t think Pericarditis changes can resolve as rapidly.
i would assume ECG2 is his baseline?
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@DidlakeDW @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @syamkumarmd @DrRajeshG1 @AslangerE @DocNikko @adribaran @PPodrid @BrooksWalsh @doctor_roig Negative family history, denied any illicit substance
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@MethaqOrman @MaruanCarlos @The_Nanashi_O @ecgrhythms @UlhasDr @syamkumarmd @DrRajeshG1 @AslangerE @DocNikko @adribaran @PPodrid @BrooksWalsh @doctor_roig At the very, very least- there are disproportionately large (hyperacute) T waves in I/aVL at the time of ECG1. This should eliminate any suspicion of a masquerading etiology such as pericarditis. Aggressive family Hx? Anomalous artery? Cocaine?
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