Daily ECG
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Post #1089
5.22K
ECG.CASES ❓What do you think about this rhythm?
The correct answer is “Polymorphic VT”
- ❤ 6
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Post #1088
6.67K
- ❤ 10
Post #1087
6.31K
This is the ECG of a patient who was admitted to the hospital with palpitations.
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Post #1086
5.2K
#Case217 ❤️
Post #1085
7.51K
ECG.CASES The correct answer is “Atrial Flutter 1:1”
Features suggesting AFL 2:1 :
Regular narrow complex Tachycardia
Very high heart rate
History of Valvular disorder
Regular narrow complex Tachycardia
Very high heart rate
History of Valvular disorder
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- ❤ 2
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Post #1084
7.1K
ECG.CASES 60 year old man with a history of Aortic regurgitation presents with palpitation
The correct answer is “Atrial Flutter 1:1”
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Post #1083
8.39K
- ❤ 13
Post #1082
7.1K
60 year old man with a history of Aortic regurgitation presents with palpitation
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Post #1081
5.76K
#Extra18 ❤️
Post #1080
6.2K
ECG.CASES What’s going on here?
The correct answer is “Sinus rhythm, LBBB, Inferior and RV MI, AVB: Mobitz Type I”
✅ Findings:
• Sinus tachycardia
• 2nd-degree AVB: Mobitz Type I (Wenckebach): subtle progressive increase in PR intervals followed by a dropped QRS
• Left bundle branch block (LBBB)
• V1–V3 show discordant ST elevation and peaked T waves but do not meet modified Sgarbossa criteria
• Discordant ST elevation in inferior leads > 25% of the corresponding R-wave amplitude, with STE in D3 > D2 suggesting inferior and possible RV MI.
✅ Findings:
• Sinus tachycardia
• 2nd-degree AVB: Mobitz Type I (Wenckebach): subtle progressive increase in PR intervals followed by a dropped QRS
• Left bundle branch block (LBBB)
• V1–V3 show discordant ST elevation and peaked T waves but do not meet modified Sgarbossa criteria
• Discordant ST elevation in inferior leads > 25% of the corresponding R-wave amplitude, with STE in D3 > D2 suggesting inferior and possible RV MI.
- ❤ 8
- 👍 6
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- ❤ 12
Post #1078
6.89K
- ❤ 19
Post #1077
6.35K
#Case216
A 65-year-old man with a history of diabetes presents to the ED with chest pain radiating to the epigastric area. He feels lightheaded and mildly short of breath.
🩺 Examination:
• BP: 95/65 mmHg
• HR: 100 bpm
• Diaphoretic and anxious
A 65-year-old man with a history of diabetes presents to the ED with chest pain radiating to the epigastric area. He feels lightheaded and mildly short of breath.
🩺 Examination:
• BP: 95/65 mmHg
• HR: 100 bpm
• Diaphoretic and anxious
- ❤ 11
Post #1076
4.38K
#Case216 ❤️
- ❤ 4
Post #1075
5.29K
This ECG shows a polymorphic ventricular tachycardia with a characteristic twisting of the QRS complexes around the isoelectric line.
Key ECG Features:
• Polymorphic wide QRS complexes
• Shifting axis and amplitude of the QRS complexes
• Preceded by prolonged QT interval
What triggered it?
• Patient was on quetiapine (QT-prolonging antipsychotic)
• Started on levofloxacin (another QT-prolonging drug)
• Combo + possible illness-related factors = setup for TdP
Clinical takeaway:
Be cautious when combining QT-prolonging agents, especially in older or critically ill patients. A baseline ECG and electrolytes could make all the difference.
Key ECG Features:
• Polymorphic wide QRS complexes
• Shifting axis and amplitude of the QRS complexes
• Preceded by prolonged QT interval
What triggered it?
• Patient was on quetiapine (QT-prolonging antipsychotic)
• Started on levofloxacin (another QT-prolonging drug)
• Combo + possible illness-related factors = setup for TdP
Clinical takeaway:
Be cautious when combining QT-prolonging agents, especially in older or critically ill patients. A baseline ECG and electrolytes could make all the difference.
- 👍 13
- ❤ 6
Post #1074
4.66K
ECG.CASES What’s your diagnosis?
The correct answer is “Torsades de Pointes (TdP)”
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Post #1073
5.66K
- ❤ 6
Post #1072
5.42K
An 82-year-old man is admitted with pneumonia. He has a history of taking quetiapine for sleep. During hospitalization, he’s started on levofloxacin.
A few hours after admission , his mental status declines and the patient becomes unresponsive.
This ECG is obtained.
A few hours after admission , his mental status declines and the patient becomes unresponsive.
This ECG is obtained.
- ❤ 12
- 👍 5
Post #1071
4.53K
#Case215 ❤️
- ❤ 4
Post #1070
6.01K
- 🔥 12
- ❤ 5