Easy ECG Course
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ECG in Seconds
أسرع قناة لتعلم تخطيط القلب بطريقة مبسّطة واحترافية.
ملاحظات – Cases – Signs – Tricks – Guidelines
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Which patient with AF generally should NOT receive a DOAC?

A) AF with hypertension
B) AF with diabetes
C) AF with rheumatic mitral stenosis
D) AF with vascular disease
Any Idea ?
Which vascular access is preferred for PCI in ACS when feasible?
A) Femoral
B) Radial
C) Carotid
D) Brachial
Normal ECG vs NSTEMI
Left: Normal ECG
Right: ST depression (highlighted) — classic NSTEMI finding
Always correlate with clinical picture + cardiac enzymes.
65-year-old male admitted to the ER with chest pain. What does this trace suggest?
A 68-year-old man with a history of hypertension presents to the emergency department for evaluation of palpitations. An electrocardiogram (ECG) was recorded.

What is the ECG diagnosis?

#ecginterpretation#ekg #hearts #HeartDiseasePrevention #everyone
Dizziness
Cardiac pain for 8 h
Cardiac pain for 2day
#STD_in_right_vent_hypertrophy
right ventricular hypertrophy (RVH) causes ST depression and T-wave inversion in the right precordial leads V1-3.
#STD_IN_SVT:_
Supraventricular tachycardia (e.g. AVNRT) typically causes widespread horizontal ST depression, most prominent in the left precordial leads (V4-6).
This rate-related ST depression does not necessarily indicate the presence of myocardial ischaemia, provided that it resolves with treatment
#ST_depression_in_hypokalemia:_
Hypokalaemia causes widespread downsloping ST depression with T-wave flattening/inversion, prominent U waves and a prolonged QU interval
#Morphology_of_ST_Depression
ST depression can be either upsloping, downsloping, or horizontal.
#Horizontal or #downsloping ST depression ≥ 0.5 mm at the J-point in ≥ 2 contiguous leads indicates myocardial ischaemia (according to the 2007 Task Force Criteria).
#Upsloping ST depression in the precordial leads with prominent De Winter T waves is highly specific for occlusion of the LAD.
Reciprocal change has a morphology that resembles “upside down” ST elevation and is seen in leads electrically opposite to the site of infarction.
#Posterior MI manifests as horizontal ST depression in V1-3 and is associated with upright T waves and tall R waves.
#STD_in_digoxin_treatment:_
Treatment with digoxin causes downsloping ST depression with a “sagging” morphology, reminiscent of Salvador Dali’s moustache