Sinus #ecg✅

youtu.be/fFFxjcyL82I?si…

OMI signs detected‼️‼️🚑🚑 #ecg shows; 1. Subtle STE with hyperacute TW in Inferior Leads 2. Reciprocal STD in aVL and Lead 1 3. Max STD V1-V4 suggest posterior involvement (supported by mirror ECG) 🔺Acute Inferior Posterior OMI - midRCA

Only two #ecg with digitization; Case share by Vikram Jadhav ; 35 y.o male with chest pain and pre-syncopal attack; What do you think about the rhythm🤔❓Given IV Amiodarone. PMcardio App #Cardiology #CardioEd #Cardiotwitter #EPeeps #MedTwitter #Medicalstudent

Likely Manifestation of underlying SND🤔

Great✅👏👏👏 academic.oup.com/ehjdh/article/…

OMI signs detected‼️‼️🚑🚑 1. Hyperacute TW in V2-V5; - Broad base; - TW propotionally large compared to QRS - TW in V2-V3 proprotionally large compared to TW in V6 2. Hyperacute TW in Lead 1 and aVL 3. STE in V1 4. Reciprocal STD in Lead 3 and aVF 🔺Hyperacute pLAD OMI✅😁

VT no 1 diagnosis✅

I'm voting for long PR tachycardia with aberrancy.✅

The #HRX2024 AbstracX are online now and free to all! heartrhythmjournal.com/issue/S1547-52… Heart Rhythm Society HRX 2024

Only one #ecg; lady in 30's+; Sudden onset palpitation after fighting her husband; BP 90/60mmHg; Lungs clear. Rhythm❓🤔 PMcardio App #CardioEd #Cardiology #CardioTwitter #MedTwitter #Medicalstudent

OMI signs detected‼️‼️🚑 1. Inferior OMIQ wave in Lead 3 and aVF: 2. Max STD V2-V4; Mirror Ecg shows STE with TWI; Posterior involvement 3. STE in V1 and aVR - RV involvement. OMI- late presentation.

#echofirst What do see here Hari Krishna Rau Subbarao ❓

OMI signs detected‼️‼️🚑🚑 Traditionally the V2 does not meet STEMI; STE/RS <25% which suggests LVH. But changes in Lateral V5-V6: High Laterals with STE with Hyperacute TW suggests LAD OMI - mid LAD. Supported by reciprocal STD in Lead 3; 🔺mid LAD OMI on top of LVH.

OMI signs detected‼️‼️🚑🚑 1. Hyperacute TW with STE in V1-V3; Broad base; TW in V2 is proportionally larger than V6. 2. Hyperacute TW in V4-V5; Lead 1 and aVL. 3. Reciprocal STD Lead 3 and aVF; LAD OMI; Progresses to full blown STEMI✅

Great case🫡 Advanced High Grade 4:2 AV Block.

Always remember in wide QRS/BBB to diagnosis OMI; Discordance is Good Concordance is BAD

#ecg shows NCT HR ~170bpm; 1. STD <2mm ~ retrograde p wave of AVNRT. 2. Pseudo s wave in Inferior Leads. 3. RP < PR with RP interval <70msec. Adenosine strip rhythm shows; 1. The termination of tachycardia with P wave 2. PR jump - Dual AV nodal physiology. 🔺AVNRT #ecg in SR