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ECG Case: Regular Wide Complex Tachycardia

Amal Mattu

Your first thought is VT? Look how wide are those QRS complexes. In case of such wide complexes you should first think of toxicologic and metabolic causes (hyperkalemia & severe acidosis)

views: 201 comments: 0

ECG Case: MI in Paced Rhythm

Amal Mattu

It possible to diagnose MI in paced rhythms, you just need to use Sgarbossa’s criteria: 1. STE ≥ 1mm concordant with QRS deflection in any single lead 2. STD ≥ 1mm in V1, V2, OR V3 that is concordant....

views: 637 comments: 0

ECG Case: Pulmonary Embolism

Amal Mattu

ECG findings in Pulmonary Embolism: -Sinus Tachycardia (only 30-50%) -SIQIII or SIQIIITIII , a.k.a. Rightward Axis (not sensitive or specific) -New RBBB or incomplete RBBB -Superventricular...

views: 662 comments: 1

ECG Case: Wide Complex Tachycardia

Amal Mattu

Differential for regular wide complex tachycardia Ventricular Tachycardia!!!!! - this should be always your first suspicion SVT, atrial flutter or sinur tachycardia with aberrant conduction Look...

views: 799 comments: 0

ECG Case: WPW Syndrome

Amal Mattu

WPW triad Short PR interval Widened QRS (>120ms) Delta wave (but: not always present!)​

views: 846 comments: 0

ECG Case: Deformed T-waves

Amal Mattu

Always look for P-waves. They might be buried in T-waves or QRS complexes. Their presence and correlation with QRS complexes is important in differential diagnosis of brady- and tachyarythmias.

views: 842 comments: 0

ECG Case: Complete Heart Block

Amal Mattu

Look carefully for the P-waves or you will miss the proper diagnosis! Little blimbs that you see in lead II are regular - those are the P waves. There is no relation between them and QRS complexes which...

views: 615 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE parasternal long axis view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 492 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE parasternal short axis view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 353 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE modified four chamber view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 297 comments: 0