@ecgandrhythmRoe
Differentiation of WCT…,
〈Brugada Algorithm〉
・No RS in precordial leads➡"No"
・RS interval 80〜100msec (in lead V4)≦100msec➡"No"
・AV dissociation➡"Unclear"
・VT morphology criteria➡"Yes"
→LBBB morphology in lead V1, QS in lead V6
➥"VT" is likely
〈Vereckei aVR
今日、X上で学んだこと…、
特殊な心電図変化として知られる、"Aslanger Pattern"😲😲😲急性下壁梗塞を示唆する所見らしい😳😳😳
(1) STE in III but not in any other inferior lead,(下壁誘導でⅢ誘導のみのST上昇)
(2) ST depression in any of leads V4 to 6 (but not in V2) with a positive
"重度の貧血"による広範囲な心内膜下虚血🧐🧐🧐👇👇👇
aVRのST上昇と広範囲なST低下の心電図を見たら…👇👇👇
・Diffuse subendocardial ischaemia due to oxygen supply-demand mismatch(重度の貧血や頻拍➡酸素の需要と供給のバランスが崩れる➡二次的な広範囲
〈ジギタリス中毒〉
最近、ER心電図を解いていて、よく出てくるのがジギタリス中毒の心電図波形🧐🧐🧐
"様々な房室伝導比の房室ブロックを伴う心房頻拍(AT with various AV block)"の心電図を見たら何をまず疑うか…、
それが、まさにジギタリス中毒(Digitalis intoxication)🧐🧐🧐🧐🧐
#IssaTweetorials
What is the mechanism of aberrant conduction?
1/9
“Aberration” describes transient bundle branch block (BBB) and does not include persistent QRS abnormalities caused by persistent BBB, preexcitation, or the effect of drugs.
#EPeeps
#CardioTwitter
#ECG
This ECG was recorded from a 45 y/o man, who had been admitted to a coronary care unit with a myocardial infarction and who was recovering well.
- What is the rhythm, and what would you do?
➡️ Answer and Interpretation:
#medtwitter
#foamed
#cardioed
@ecgandrhythmRoe
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"
@ecgandrhythmRoe
①Diffuse STE(concave type) with PR depression
②No reciprocal STD
③STD with PR elevation in lead aVR
→"Knuckle sign"
④ST/T ratio > 0.25 in lead V6
➥s/o Acute pericarditis🧐🧐🧐
74 old 🧓 hx of diabetes. Comes in with Fever, cholecystitis. No Hx of syncope or familial hx of SCD.
ECG taken during fever.
Later on in Ward shows non-sustained VT 4 complexes.
Diagnosis? Management?
@Arron_Pearce_
@ecgandrhythmRoe
@ECGwithReid
@willyhfrick
ECG spot Diagnosis
Case 9.
71yrs M presents with excruciating chest pain that started about 2 hrs ago.
1. Diagnosis?
2. What coronary artery territory is implicated?
3. Treatment?
@ecgandrhythmRoe
At firs, based rhythm is SR with RBBB🧐
➡"High degree AV block" with junctional escape beat(←1st beat)
➡2nd beat is PVC
➡3rd beat is Sinus beat
➡4th beat is R on T PVC with QT prolongation
➡Polymorphic VT😳😳😳
➡"Torsade de pointes" can be seen😲😲😲😳😳😳
It's very very
昨日の早川先生
@tempest_no3
のYouTube配信にて出て来ました、AMC起源のPVCに関して、"心電図読み方の極意"にもしっかり記載されてますね🧐🧐🧐👇️👇️👇️
①
V2-3にてS波を認めるが、それ以外の前胸部誘導はS波の無いmonophasic Rとなる ⏩️⏩️ "Rebound pattern"
②