1 / 12

Advanced EKG patterns

Advanced EKG patterns. Upper Level Conference UNC Internal Medicine 10/21/09. Basics. Always examine an EKG systematically then come up with your interpretation. What is the abnormality?. LVH What are the criteria for LVH?. What is the axis?

Télécharger la présentation

Advanced EKG patterns

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Advanced EKG patterns Upper Level Conference UNC Internal Medicine 10/21/09

  2. Basics • Always examine an EKG systematically then come up with your interpretation

  3. What is the abnormality? • LVH • What are the criteria for LVH?

  4. What is the axis? What is the differential diagnosis for that axis? Left Anterior Fascicular Block 1. Criteria for LAFB?

  5. Describe this rhythm using your “tachycardia” algorithm: What rhythm is this? How do you know?

  6. Any regular wide complex tachydardia: • Brugada Criteria – helps you discern between VT and SVT with aberrancy • If ANY of the criteria are satisfied, its VT • If NO criteria is satisfied, its SVT with aberrancy

  7. Brugada criteria • Concordance in precordial leads • R to S interval > 100ms in a precordial lead • AV dissociation? • Morphology look like VT?

  8. Concordance (lack of RS complex in precordial leads)

  9. What are the abnormalities? What is the syndrome? Brugada syndrome – Inherited Na channel abnormality, can lead to sudden death

  10. In summary • Formal diagnosis of LVH • LAFB and LPFB • Approach to tachycardia • Distinguish between VT and SVT with aberrancy – Brugada criteria • Brugada syndrome

More Related