Andreas Roeschl, MD @ecgandrhythmRoe
Cardiologist - ECG-student https://t.co/N8LYGKmKRC🫀https://t.co/eg7qmpZ2Se👉#ECG #ecg ekgkurse.de Germany 🇩🇪 Joined May 2023-
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There is an underlying sinus bradycardia (atrial rate 55/min) but with a simultaneous accelerated junctional rhythm (discharge rate 80/min). Most beats are junctional but there are also sinus capture beats (‘C’), producing incomplete AV dissociation. There is no AV block.
Chest pain 1 day ago; what`s your take? @IrmaMDv @anais_dahoumane @PacingSpike
Weakness after several prolonged episodes of vomiting + diarrhea; ECG with 50 mm/s, only the precordial leads present; your diagnosis?
67 yo man with CAD/IHD; palpitations; easy question: is this most likely an idiopathic VT or a scar-related VT? Origin?
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@AThomazAndrade Yea I was struck how it looks if flipped vertically (enclosed). I wonder if this will be complex SCN5A overlap with conduction disease and superimposed Brugada spectrum changes
My impression: SND + BrS masked by RBBB 1 Rhythm analysis: As said by several colleagues, this is indeed a 2nd degree SA exit block. The same blockade was seen several times on Holter monitoring with prolonged sinus pauses of up to 6.6 seconds, possibly related to advanced SAB
2 We also seen an intermittent widening of the S wave or ascendending ST depression on C2, which was well observed by @jeffrey_vinocur and corresponds to an inverted image of the Br pattern.
51 years old man, case of DM and dyslipidemia. Chest pain, shortness of breath one week. Stable otherwise. Dx? @JoySanyal74 @ecgandrhythmRoe @IrmaMDv @ecgrhythms @DidlakeDW
Adult F admitted for palpitations and DOE. #ECG #Cardiology #EPeeps #MedTwitter
@OnlyEcg1 @DrRazi4 @ecgrhythms @DidlakeDW On the basis of that prominent R in V2 (seems "out of place" and analogous to posterior Q) and the max praecordial STD in ?V5, not V5-6... ... I'd say this is a mix of posterior OMI and diffuse subendocardial ischaemia.
#ECG AIVR is a common arrhythmia in the setting of STEMI receiving thrombolytic therapy. Early AIVR is more common with successful thrombolysis. Thus, early AIVR can be used as an additive criterion to ST segment resolution as a non-invasive marker of successful thrombolysis.
Accidental non-cardiac finding during echo! Thoughts? @Vadeboncoeur_Al @NephroP @OrlandoRPN @ABCDEcografia @iamritu @EM_RESUS @EmergencyEcho @echo_stepbystep @EchoCases @paomorejon @ecgrhythms @estudiomedicina @yolyabreuh @NMerke @IMPOCUSFocus @fxgodzeuss @danielsaeed…
@ecgandrhythmRoe Baseline SR WCT starts with no P wave > very likely VT
@ecgandrhythmRoe PAC short run with aberration‼️🙇♂️ Not NSVT‼️ Because 4th beat is PAC NSVT is not started by PAC‼️
@ecgandrhythmRoe 5 beats non sustained vt, back to sinus
@ecgandrhythmRoe Atrial fibrillation (AFib) is an irregular and often very rapid heart rhythm. An irregular heart rhythm is called an arrhythmia. AFib can lead to blood clots in the heart. The condition also increases the risk of stroke, heart failure and other heart-related complications.…