Electrophysiology

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EKG Nuggets: Spice Up Your Learning!

Welcome to our EKG Nuggets series where we spice up your learning with some electrifying insights presented by a Cardiologist!

Since Nashville holds the crown for the world's hot chicken capital, we're borrowing its flavor scale to rate the appropriateness/difficulty of these nuggets for different audiences:

  • Mild (for the med students and interns)
  • Medium (senior residents, come on down!)
  • Spicy (calling all cardiology fellows and junior cardiologists!)
  • Extra Spicy (senior cardiologists and rhythm specialists, let's turn up the heat!)

In each episode, get ready for a short video (less than 10 minutes) where we'll doodle and scribble directly on the EKG.

Hope you're ready for this spicy learning journey! 🌶️🔥

  

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Added a post   to  , Electrophysiology

40 male with chest pain for 2 days present ER for evaluation The following EKG obtained



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Added a post   to  , Electrophysiology
Reposted Khalid Abozguia's post.

Recap of HRS23 in NOLA: No significant advancements in clinical trials were reported. However, there was considerable focus on three notable areas of interest: left bundle area pacing, CardioNeuroAblation, and PulseField Ablation.

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Added a post   to  , Electrophysiology
Reposted Khalid Abozguia's post.

Meeting the master of Cardio Neuro Ablation (CNA) #HRS23 @NOLA

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Added a post   to  , Electrophysiology
Reposted Khalid Abozguia's post.

Cardio Neuro Ablation (CNA) for syncope in young patient- another exciting groundbreaking technique discussed at #HRS23 @NOLA

early days but promising data

need more RCT

what do you think?

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Added a post   to  , Electrophysiology

67 year old complains of palpitations. History is significant for CAD s/p pci, cardiomyopathy LVEF 30%. EKG suggests:

1- Atrial tachycardia

2- AVNRT

3- VT

4- Junctional tachycardia

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Added a post   to  , Electrophysiology

A 69-year-old man who is in the ER with palpitations. His past medical history is not immediately available. Physical exam is otherwise unremarkable.  

What is going on? 

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Added a post   to  , Electrophysiology

This is a tracing from an ambulatory monitor on an elderly lady with palpitations. Although its interpretation is straightforward, the tracing demonstrates several electrophysiological phenomena that are basic for understanding EKG interpretation.

What are these phenomena?

Try to choose the correct answer from the poll below, then you can review the attached 5 min video for the answer and explanation.

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Added a post   to  , Electrophysiology

This tracing was taken from a 68 year-old-female with h/o palpitations. Her EKG showed NSR with PVCs in a trigemini pattern.

Again, this tracing demonstrates a basic electrophysiological phenomenon, what is it?

Answer the question in the poll before before viewing the video with the explanation



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Added a post   to  , Electrophysiology

56 year old male with presented in the ED with pre-syncope and chest pain. 12 lead EKG shown below. Most likely etiology?

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Added a post   to  , Electrophysiology

68 year female with PMH of COPD presented with 3 weeks of palpitation and breathlessness. Presenting EKG is shown below

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Added a post   to  , Electrophysiology

Post DDDR pacemaker , 24h Holter showed frequent PACs , PVCs and this wide QRS complex Tachycardia. Your thoughts..

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