74 year old male with palpitations Andreas Roeschl, MD Dr Razi ECGs Pedram

5 Pseudoinfarct pattern LVH = QS V1-V2, PRWP, STE LBBB = QS V1-V2, STE LAFB = q chest leads HCM = Q waves V5-V6, lead I PE = Q III,avF with STE, rSr or QS V1V2 with STE Hung SC, Chiang CE, Chen JD, et al. Pseudo-myocardial infarction. Circulation. 2000;101:2989–2990.

これは読むべき‼️🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥

Daxiga Andreas Roeschl, MD ECGs Pedram #ecg shows NCT with HR~100bpm 3:1 Block noted; AFL vs AT; Favours more towards AFL; 1. CL ~200msec (AFL 190-250msec while AT 250-400msec. 2. Negative P waves in Inferior Leads with Oscillation above baseline. 🔺Typical Counter Clockwise AFL with 3:1 Block.

These ECGs were sent to me with the following informations: the ECGs seem to be very challenging to interpret, even for a renowned cardiac electrophysiologist at a major medical institution and cardiologist at another major medical institution.

65 yo woman with acute myocarditis, no CAD; what do you see?

#せこ心電図クイズ　No.45 74歳男性。前失神発作が1日に複数回出現する。それぞれ別の外来受診日に記録した心電図2枚を示す。 心電図を判読し、前失神の原因となる病態として最も考えられるものを選べ。 1️⃣洞性徐脈 2️⃣徐脈性心房細動 3️⃣徐脈頻脈症候群 4️⃣完全房室ブロック 5️⃣非持続性心室頻拍

Chest pain?

#ecg shows irregular NCT ; 1. Positive P wave seen in V1 with evidence of variable conduction block 2. Atrial rate around 300bpm. 3. No definite P clearly seen in Inferior Leads. 4. Bix rules need to be applied. 🔺AFL with variable conduction block (mainly 2:1 Block).

70 y/o F with chest heaviness,hx of DM & CABG 2years ago OMI/NOT? Andreas Roeschl, MD ecgrhythms 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴) 🫀EcgOxford Carlos M. Peñate, MD Pendell Meyers Stephen W. Smith Robert Herman, MD José Luis Morales David Didlake Andreas Müssigbrodt Dr Razi Medecine Made Easy JMC Neshwan Albarwari Ōkóyè Ō.🫀

Maybe helpful: LVH-normal-RVH 👇

Symptomatic arrhythmia (vertigo, fall, 70/40 mm Hg during tachy converted into SR after electrical ⚡️in 90 yo patient with #ICM, LVEF 30. Good general health. Your take? ➡️

Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS. hqmeded-ecg.blogspot.com/2024/09/dynami…

Rhythm? Ramon Escalona Yolanda Abreu H. Dr Ulhas Pandurangi David Didlake Arnel Carmona Syamkumar Dr Ihab Suliman P̸r̸ Nikkტ Peschanski 𝗠𝗗 PhD ᙓᖇ𝗙𝗲𝘃ᙓᖇ ᴹᵁRennes TA✨ Alain Vadeboncoeur MD Stephen W. Smith Sam Ghali, M.D. estudiomedicina Orlando RPN YusukeKaneko #EPeeps #FOAMcc 𝗥𝗲𝘀𝘂𝘀𝗠𝗲𝗱 Sthanu Dr.Fujisawa@心電's合格塾 N. Tsukishima EP大学心電図検定学部試験対策科担任 Andreas Roeschl, MD

正解は3️⃣でした！ QRS幅は比較的narrowで発作性上室頻拍の変行伝導のように見えますが、房室解離が観察され心室頻拍であることが分かります🧐 右脚ブロック型左軸偏位のベラパミル感受性心室心拍です🌟 （下へ続く）

ECG Lovers Free for everyone!

Syncope while on a treadmill hqmeded-ecg.blogspot.com/2024/09/syncop…

Treatment of sustained Ventricular Tachycardia (>30 sec at >100bpm) or VF post myocardial infarction: - if haemodynamically unstable = Electrical defibrillation. - 1st intention: Amiodarone 300 mg IV over 30 minutes, then IVSE over 24 hours. - in 2nd intention: - beta

Good info on VT treatment; can try treating this #ecg😃⏬⏬