ECG.CASES
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Daily ECG

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What is the rhythm?
Anonymous Poll
66%
Ventricular tachycardia
34%
SVT + RBBB
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The correct answer is “Ventricular Tachycardia”
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A 35-year-old female with a history of depression is brought to ED with decreased level of consciousness. Her blood pressure is 85/60.
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Which of the following best accounts for the ECG changes?
Anonymous Poll
66%
TCA overdose
14%
Ventricular tachycardia
19%
Electrolyte imbalance
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The correct answer is “TCA overdose”
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ECG features suggesting toxicity with a Sodium Channel Blocker:
• Sinus Tachycardia
• Interventricular Conduction Delay
• Right Axis Deviation
• Terminal R wave > 3mm in aVR
• R/S ratio > 0.7 in aVR
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#Extra11 ❤️
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What’s going on?
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ECG.CASES
What’s going on?
The correct answer is “Runs of Ventricular Tachycardia”
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#Extra12 ❤️
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What type of AV block do you observe in this ECG?
Anonymous Poll
13%
1st degree
25%
2nd degree
62%
3rd degree
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The correct answer is “3rd degree AV block”
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Presence of AV Dissociation suggests Complete heart block
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#Case208 ❤️
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55-year-old man brought to the ER after being found unconscious on the street. His ECG tells the story… ⏳
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The answer was hypothermia! ❄️
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“The answer was hypothermia! ❄️ Here’s what the ECG showed:

• Bradycardia
• Osborne Waves
• Prolonged PR, QRS, and QT intervals
• Shivering artifact

Hypothermia can lead to serious complications like cardiac arrest due to VF, VT or asystole. Always be aware of the subtle but crucial signs!

Thanks to everyone who participated. stay tuned for more cases!
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