EKG

Wide Complex Tachycardia

Aug 9, 2019Tom SeagravesCardiology, EKGCardiovascular, EKG

Intro

There’s an old adage that wide complex tachycardia is VTach until proven otherwise. While this is true as do not want to miss any potentially lethal arrhythmia, it is also important to understand the differential for wide complex tachycardias so that we can tailor our potential treatments to the specific arrhythmia. It is also important to note that in any unstable patient with a wide complex tachycardia (or narrow complex tachycardia) that electricity is always safe.

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Narrow Complex Tachycardias

Jul 28, 2019Tom SeagravesCardiology, EKGCardiovascular, EKG

Intro

The differential for narrow complex tachycardia is extremely important as it is the most commonly seen abnormal EKG in the emergency department. It includes rhythms such as sinus tachycardia, AVnRT, AVRT, atrial flutter, ectopic atrial tachycardia (EAT), atrial fibrillation, atrial flutter, and multifocal atrial tachycardia (MAT).

The goal of this blog is to run through this differential and give some methods to differentiate the rhythms. Although we will not delve too deep into antiarrhythmics, it is important to note that electricity is safe in all unstable rhythms no matter the etiology.

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EKG: Pericarditis vs. STEMI

Jan 20, 2019Tom SeagravesCardiology, EKGCardiovascular, EKG

Dr. Patwari did a great review on differentiating ST elevations associated with pericarditis vs. acute MI. From medical school, I think we can recall many of the classic EKG findings…

EKG: Left Ventricular Hypertrophy

Nov 1, 2018Kelly RyanCardiology, EKGCardiovascular, EKG

Last week’s 5-minute EKG discussion was lead by our APD, Dr. Scott Heinrich.

You get handed this EKG from a patient in triage with chest pain. Should you activate the cath lab?

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Pacemaker Review

Oct 14, 2018Tom SeagravesCardiology, EKGCardiovascular, EKG

Goal of This Blog

Pacemakers are becoming increasingly common as our population ages, and are seen more and more in the emergency department. The goal of this post is to summarize common pacemaker settings, the 5-letter nomenclature of pacemakers, indications for pacemaker placement, pacemaker components, common pacemaker complications (majority of blog), and lastly the management of pacemakers in the ED (including applying a magnet). …And as always, the blog ends with some medical history

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EKG: Atrial Flutter

Oct 8, 2018Tom SeagravesCardiology, EKGCardiovascular, EKG

The 5-minute EKG was presented by our fan-favorite attending, Dr. Patwari. See EKG below (Answer to follow). You’re handed this EKG from triage. As always, it is important to approach…

EKG of the Week

Oct 12, 2017Rahul2 CommentsEKGEKG

Okay, it’s been a while since I posted anything, but here’s a quick one. This is a 30 year-old person who presents to the ED with palpitations. What is it?…

EKG Of the Week

Aug 9, 2017RahulEKGEKG

This is a 31 year-old male who presented with palpitations. He said this has happened to him several times in the past. What is going on in this EKG and what would you do to fix it (if anything)? Here’s his EKG: 2017-08-08

Answer on Twitter.

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EKG of the Week

Jul 31, 2017RahulEKGEKG

For this week, a 44-year old female presents with trouble breathing when she walks. Here is her EKG, what’s going on here? 20170731

EKG of the Week

Jul 24, 2017RahulEKGEKG

This week we have an EKG of a 65 year-old woman who presented with fatigue. She just didn’t seem to have the energy she normally has. No chest pain, shortness of breath, fever, cough or leg swelling. Her vital signs and exam were unremarkable.

Here is her EKG: EKG 2017-07-24

Instead of putting your guesses below, respond to the corresponding Tweet by @RushEmergency.
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EKG

Goal of This Blog

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