Andreas Roeschl, MD @ecgandrhythmRoe
Cardiologist https://t.co/N8LYGKmKRC🫀https://t.co/eg7qmpZ2Se👉#ECG #ecg ekgkurse.de Germany 🇩🇪 Joined May 2023-
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70 yo male, IHD with CTO of RCA, recently decompensated HF with EF around 35%; ECG changes from image 1 to image 2&3; What's your take @ecgandrhythmRoe ?🙏🏼
65M, heavy smoker, old CVA Chest pain for hours
Older patient, has some cardiac disease. Has had variety of WCT in the past, many/most VT. But is *this* ECG supportive of RVOT VT?
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84 Followers 205 Following Médico (MUDr.), Fisioterapeuta y aficionado a la Fotografía Estudiando (sufriendo) el #MIR2021@ecgandrhythmRoe so bin wieder da. ich denke er hat polymorphe VES und nsVT ist ähnlich zur rot-markierten VES.
@ecgandrhythmRoe alles gut :) die Auszeit sei dir gegönnt
@MergencyFe @ankilovin @ecgandrhythmRoe ekg.training, ne? Kann ich auch nur empfehlen. Ich habe mir die Videos immer einmal im Durchlauf angeschaut und dann nochmal mit Pausen zum Karteikartenschreiben und anschließend mit meinen Karteikarten die Übungen gemacht.
@ecgandrhythmRoe @MubarakAlhatemi @The_Nanashi_O @DidlakeDW @EM_RESUS @ecgrhythms @adribaran @syamkumarmd @UlhasDr I really appreciate it. I sometimes open twitter just to check your ECGs.
@ecgandrhythmRoe @MubarakAlhatemi @The_Nanashi_O @DidlakeDW @EM_RESUS @ecgrhythms @adribaran @syamkumarmd @UlhasDr Agreed 🙏. I usually judge by overall qrs polarity
@ecgandrhythmRoe @MubarakAlhatemi @The_Nanashi_O @DidlakeDW @EM_RESUS @ecgrhythms @adribaran @syamkumarmd @UlhasDr Sometimes, following strict definitions in medicine can make one overthink. Thank you for continuously educating us 🙏
@moamen5298 @ecgandrhythmRoe @MubarakAlhatemi @The_Nanashi_O @DidlakeDW @EM_RESUS @adribaran @syamkumarmd @UlhasDr I think it is good to question everything. Yes, in this case I think it does not fit concordance. We can still see the initial septan depolarization. Ur fingers are quick for the search. 😆
@ecgandrhythmRoe @The_Nanashi_O Rhythm changed after amio bolus, and no pacer spikes on other ECGs Looks regular to my eye and on the tele at the time
@MubarakAlhatemi @The_Nanashi_O @DidlakeDW @EM_RESUS @ecgandrhythmRoe @ecgrhythms @adribaran @syamkumarmd @UlhasDr Not 100% sure but my guess VT a pattern similar to josephson sign in Leas II, v6 Tbh, I Can't definitively say there's negative concordance as subtle r waves seen in v2-v6
@ecgandrhythmRoe Jetzt erst gesehen, daß du die EKG "auflöst"
Auf dem Weg zu den #Hausbesuchen... später mehr
@FrederikGrund @ecgandrhythmRoe @smithECGBlog @willyhfrick @The_Nanashi_O Findings may be all due to Stroke. However, DDx would be Takotsubo CM. See the screenshot below from @ekgpress's excellent blog, link: ecg-interpretation.blogspot.com/2013/01/ecg-in… Takotsubo and CNS disorders are the only ones that tend to cause gross QT prolongation
@MubarakAlhatemi @The_Nanashi_O @DidlakeDW @EM_RESUS @ecgandrhythmRoe @ecgrhythms @adribaran @UlhasDr It seems there is some evidence of AVD in the rhythm strip. If VT, it is from the conduction system, moderator band area
@MubarakAlhatemi @ecgrhythms @The_Nanashi_O @DidlakeDW @EM_RESUS @ecgandrhythmRoe @adribaran @syamkumarmd @UlhasDr Negative concordance is highly suggestive of RV Apex VT . Mahaim is next.
@ecgandrhythmRoe BAV 1° grade P mitrale in limbs leads Terminal P portion in V1 >40 mm/Ms Fourth beat represent an isolated PVC
@ecgandrhythmRoe SR, 1°AV Block, p-Mitrale, Strain sign, PVC.