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ECG

Jun 12 2019

What is Pseudo-Wellens’ Syndrome?

What is Pseudo-Wellens’ Syndrome?

When is Wellens' not Wellens'?  What mimics it? Pseudo-Wellens’, a similar pattern to Wellens’, results in abnormal T waves, due to left ventricular hypertrophy(LVH) or other causes. In a patient … [Read more...] about What is Pseudo-Wellens’ Syndrome?

Written by peter · Categorized: ECG · Tagged: left ventricular hypertrophy, pseudo-wellens, Wellens

Nov 13 2018

T wave inversion in aVL to predict early ischaemia

T wave inversion in aVL to predict early ischaemia

A Case from the literature A 60 you woman with a past medical history of diabetes presents with shortness of breath. An ECG is done. What is the abnormality? The only real abnormality to be … [Read more...] about T wave inversion in aVL to predict early ischaemia

Written by peter · Categorized: ECG · Tagged: aVL, early ischaemia, reciprocal changes

Oct 14 2018

The VT Score- 100% Specific in picking VT

The VT Score- 100% Specific in picking VT

Introduction When we assume that every wide complex tachycardia is Ventricular Tachycardia(VT) our sensitivity for picking up VT is 100%. In the emergency department setting, this is a must! We use … [Read more...] about The VT Score- 100% Specific in picking VT

Written by peter · Categorized: ECG, Wide Complex Rhythms · Tagged: Brugada, Sasaki, the VT rule, ventricular tachycardia, Vereckei, wct

Aug 30 2018

A 19 yo with sharp chest pain

A 19 yo with sharp chest pain

A 19 yo male presents to the emergency department complaining of chest pain for nearly 12 hours. t was sudden and sharp in onset. It is in the centre of his chest. It started last evening whilst he … [Read more...] about A 19 yo with sharp chest pain

Written by peter · Categorized: ECG, Syndromes · Tagged: myocarditis, pericardits, perimyocardits

Mar 15 2018

A 40 yo with depressed conscious state

A 40 yo with depressed conscious state

The Case A 40 yo is brought to the emergency department with the following vitals: GCS 4 SBP 70mmHg HR 140 RR 50 T 39C There are no signs of injury. Heart sounds are dual and no … [Read more...] about A 40 yo with depressed conscious state

Written by peter · Categorized: ECG · Tagged: inverted T waves, prolonged QT

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