Andreas Roeschl, MD
@ecgandrhythmRoe
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Cardiologist I contribute to: 🫀 #ecg #EKG
Germany 🇩🇪
Joined May 2023
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Emergency ECG from the intensive care unit: what do you see?
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Another ECG book recommendation; my latest ECG book; I like it especially because it contains ladder diagrams 👇
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I like this ECG; what do you think is the diagnosis?
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A recommendation for a book on cardiac arrhythmias. It is very good, but also extremely comprehensive 👇
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80 yo man, had a syncope 1 day ago; what`s your take?
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A reading recommendation for everybody who is sometimes (or often 😂) confused about arrhythmias 👇
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An interesting ECG; what do you see? Medication?
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How can you distinguish a VT from an SVT with aberrant conduction; maybe a little help 👇 ?
(created with Affinity Designer)
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A really great video to differenciate VT from SVT with aberrant conduction:
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Chest pain 5 weeks ago; the patient didn`t go to a doctor; what do you see (echo)?
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Another ECG book recommendation 👇 Several chapters were written by Stephen Smith. It is a great book for anyone dealing with emergency cardiac patients!
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Holter ECG due to palpitations; what do you see?
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SVT with aberrant conduction or VT, what`s your take?
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From ECGGuru, courtesy of Jason E. Roediger; wht`s your take?
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14 yo girl, second syncope 3 days ago; what do you think?
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22 yo man, endurance athlete; Holter-ECG due to intermittent rapid heart beating; what`s your take?
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46 yo female, intermittent palpitations for minutes; do you have a diagnosis for me?
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For medical students: Wenckebach or Mobitzh block?
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Most of us are not EP specialists. We just want to know where this VT is coming from (RV/LV) and whether it is more benign (outflow tract tachycardia) or malignant (related to CHD/IHD). What can you say about this tachycardia?
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15 yo boy, palpitations during physical exercise; here: stress test; possible diagnosis?
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Mobitz I (Wenckebach) or Mobitz II? What do you think?
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72 yo male, CAD, IHD, frequent palpitations; what do you see?
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The ECG was described as follows (not from me!): STE in II, III, and aVF, STD in aVL, chest wall leads are normal. Do you agree?
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Easy ECG for residents; caution: 50 mm/s! chest pain 1 day ago; diagnosis?
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How can you differenciate VTs in structural heart disease? A great book!
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A 65-year-old man with DCM and intermittent palpitations; next steps?
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Long pause during the day; Holter ECG; diagnosis?
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18 yo man, gets Holter ECG due to discreet palpitations. No syncope, no dizziness, no other symptoms of heart disease.
What would you do:
1. Permanent Pacemaker DDD
2. EPS
3. Nothing
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Beautiful ECG, easy to read! What do you see?
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Due to these rhythm disorders, the patient was prescribed a medication, which he should probably not continue taking. What is the name of the medication?
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An ECG you should recognize 👇
Wide Complex Tachycardia and Syncope in the Emergency Department | Circulation
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Mobitz I (Wenckebach) or Mobitz II? What do you think?
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Palpitations; SVT with aberrant conduction or VT?
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A 56 yo man with chest pain; what`s your take?
50 mm/s!!!
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When this happens during bicycle stress test (32 yo male, no angina):
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16 yo girl, palpitations lasting 30-90 minutes; probable diagnosis (V1 is the key!) ?
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Patient with recurrent seizures; what do you think?
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Wenckebach (2nd degree AVB type 1) or Mobitz (2nd degree AVB type 2) or neither?
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35 yo male, no known heart disease;what`s your take?
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56 yo f, sudden onset of palpitations. What do you see?
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The patient just has palpitations; you see lead II and V5 over 70 seconds; probable diagnosis?
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An unusual cause of STEMI/OMI: Kounis syndrome
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Holter ECG; SVT with aberrant conduction or VT; please justify your decision!
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The Apple watch says AF ("Vorhofflimmern"); what do you think?
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Palpitations; and again the question: SVT with aberrant conduction or VT more likely?
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This ECG was sent to me with the question: SVT with aberrant conduction or VT; ECG enhanced with PMcardio!
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Holter-strip 25 mm/s; 2 consecutive PACs or PVCs?
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+60 years, no further information available; what is the most likely diagnosis? VT? Antidromic AVRT? SVT with aberrant conduction?
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Palpitations for 20 minutes; no CAD; what could be the rhythm? no lead reversal
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Holter ECG after cardiac syncope; what ist going on here? I see several interesting feataures!
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We want to practise recognizing where the arrhythmia comes from; diagnosis? origin?
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The ECG is from me, the picture from NEJM; what`s your diagnosis?
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60 yo lady, chest pain since 5 minutes; diagnosis? culprit?
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Holter-strip from a patient with known AF; what do you see?
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A classical ECG pattern, everybody should know!
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72 yo female, CAD, HF, palpitations; what do you see?
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Bad luck for this patient; after an AWMI a few years ago (currently no angina, no dyspnea) he suffered an intracranial hemorrhage 2 days ago; what do you see?
Caution! 50 mm/s
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Easy one for medical students; rhythm? SVT with aberant conduction or VT; the answer is quite easy!
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Explain to me why this must be VT, please! Holter-strip 25 mm/s
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No chest pain, rhythm? Which medication is the patient probably taking?
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Palpitations; SVT with aberrant conduction or VT? If you think VT, SOO? If you think SVT, why?
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1 ECG lead; adenosine was administered intravenously; what do you see?
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Difficult ECG without any further informations; SVT with aberant conduction or VT;
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Bradycardia during the night: how do you explain this Holter strip?
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Increasing shortness of breath after ICD implantation (some days after surgery); possible diagnosis?
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