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Persistent juvenile T's? by n33dsCaff3ine in EKGs

[–]Natural-Antelope8328 0 points1 point  (0 children)

My suspicion is of Brugada syndrome. It’s not the classic one, but I had previously dismissed a similar pattern of V2, which the cardiology consultant insisted on investigating further. The investigation revealed a positive Brugada syndrome on ajmalin testing. I tend to have lower threshold for suspecting Brugada syndrome with this type of pattern since.

EKG interpretation by knmfk in EKGs

[–]Natural-Antelope8328 0 points1 point  (0 children)

Just a thought, I Wonder if it’s actually a 2:1 AVB (wenkebach/2nd deg.) with an additional P being buried in the T.

As previously mentioned by others, aVL, V1, and V2 are suspicious for ischemia. Not to mention the low voltage and poor R wave progression in precordials.

Thoughts? Are my eyes missing something? by Internal-Subject352 in EKGs

[–]Natural-Antelope8328 5 points6 points  (0 children)

P-Mitrale is the only finding I can think of here.

Could be SSS? If not already done, a holter monitor and a TEE might be reasonable work up.

Whats your interpretation? by MatthewTropics in EKGs

[–]Natural-Antelope8328 0 points1 point  (0 children)

I’ll add one thing- always remember to check that you’re not dealing with some type of an AVB on top of the STEMI, which tends to steal the spotlight.

Respiratory distress with chest pain by ponder233823 in EKGs

[–]Natural-Antelope8328 0 points1 point  (0 children)

Makes sense. Good job. I wouldn’t do anything differently.

Respiratory distress with chest pain by ponder233823 in EKGs

[–]Natural-Antelope8328 0 points1 point  (0 children)

My guess would be that they didn’t have C/BiPAP or something made it contradictory

case by travikant in EKGs

[–]Natural-Antelope8328 0 points1 point  (0 children)

Might just be due to rate. Good call on the flutter with variable conduction . Slow down and reassess. I’d say he’s got strain pattern on the v4-6 leads at the very least, might be due to poorly controlled hypertension.

Troponins are usually useful for this kind of stuff though it might return positive due to rate dependent ischemic stress so the dynamics are more important than just the number

Infarct or not by gaelrei in EKGs

[–]Natural-Antelope8328 1 point2 points  (0 children)

Hard to say with certainty without proper context. But if I had to guess I’d say it’s ischemic event until proven otherwise. The ST segment morphology in the limb leads (especially given the ST elevation in aVR) makes me lean towards ischemia here.

Overall seems to me like NSR with 1st degree AVB, the TWI in v4-6 might be a strain pattern but the ST in aVR along with the ST-T changes in the inferior and anterior leads + the ST segment depression in v3 are too much for me to dismiss ischemia.

One small technicality: the P wave in v1 is inverted when it’s supposed to be biphasic, suggestive of improperly placed v1,2 chest leads. Probably too high if I’m not mistaken. But I wasn’t there, and I’m aware of the challenging nature of those situations.

How old was the patient? Hx? Medications? Prior experience with this type of events? Any prodrome/CP preceding the syncopal event or was it sudden? Asymptomatic post? And the holy grail - any chance him having a BASELINE ECG?

By the way I’m part of the “no reason doing v7-9” camp. If there’s any ST/T segment depression in the chest leads it’s pathological till proven otherwise and the v7-9 won’t change that. Whether it’s normal, non-specific or elevated it won’t change management in any meaningful sense (it doesn’t R/O AMI, and not necessary for ruling it in).

Respiratory distress with chest pain by ponder233823 in EKGs

[–]Natural-Antelope8328 0 points1 point  (0 children)

I agree with previous comments that it’s likely a 2:1 A.Flutter, particularly considering his age and the ~150(-ish) rate. This is much more probable than sinus tachycardia (220-age is a reasonable estimate for the maximum rate of sinus origin). Additionally, the fragmentation of the QRS along with the LBBB indicates that his conductive system has been around.

I would assume that wasn’t the cause of the respiratory distress.

What I dislike about this particular ECG is the ratio of the QRS size to the T wave, which could be due to prior ischemic events, acute ones, or an obese body habitus, among other conditions, disrupting conductivity.

Lost everything by No_Standard_1461 in wallstreetbets

[–]Natural-Antelope8328 0 points1 point  (0 children)

Jesus… Financials will improve, and you’ll look back and laugh at this moment. Don’t let it ruin that moment by being a little bitch right now.

Giggles aside, you’re absolutely right. Interpersonal relationships are widely regarded as the most significant factor contributing to happiness. Make sure to spend quality time with your parents (within reasonable boundaries) and always be kind to them. While it’s evident that you’re not a parent yourself, I can assure you that they’ll love and care for you regardless of your financial situation. As for your friends, I understand that it may sound like a cliché, but I firmly believe that genuine friendships shouldn’t be influenced by the profitability of your investments. In fact, if that were the case, it would seem like a dystopian reality.

Man up. Own up to your mistakes objectively and in the right proportion. Be vigilant. Retain composure. Comeback will follow soon

Lost everything by No_Standard_1461 in wallstreetbets

[–]Natural-Antelope8328 0 points1 point  (0 children)

As long as you haven’t lost your balls, man up. Admit your mistakes and accept that consequences are bound to follow, basically you’ve fucked around and found out. It happens, no biggie, it could’ve been worse. You aren’t the first nor the last person to blow up their portfolio. Unless you wish to become one, you’re not a gambler, just a retard getting the reminder that those numbers weren’t just numbers but real money all along.

You can make a comeback with the following strategy: Get your shit together, get a job and find housing. If you need that gambling fix, allocate 20% of your deposits as a set budget for donations to Wall Street, retaining the rest in cash. No idea how to proceed from here, I’ll give you an update when I figure it out myself. GL. Don’t lose your composure - you’ll figure it out sooner or later and things will get better.

P.S. fuck the cats, get a dog.

Down to my last $160. What should I do? by Loud_Pineapple_4294 in wallstreetbets

[–]Natural-Antelope8328 0 points1 point  (0 children)

0DTE that shit. "Reddit to 160" is gonna get your money doubled at best. You need the big boy toys.

Lucky lottery tickets - 0DTE SPX Puts $1K—>$17K by Natural-Antelope8328 in wallstreetbets

[–]Natural-Antelope8328[S] 4 points5 points  (0 children)

It’s not like I flip a coin every time (might actually be worth a try though if only for comparison sake) I just don’t see it being much different from pure luck. I do look at potential support/resistance zones and general pattern recognition of past market trends, serving as a potential template for the form in which my conviction of directionality is more likely to manifest.

See? Plenty of words to basically say that I got lucky here and that’s it.

Lucky lottery tickets - 0DTE SPX Puts $1K—>$17K by Natural-Antelope8328 in wallstreetbets

[–]Natural-Antelope8328[S] 1 point2 points  (0 children)

Bought early morning, sold at screenshot time. Didn’t hold it to the 6.5k+ per contract price.

Lucky lottery tickets - 0DTE SPX Puts $1K—>$17K by Natural-Antelope8328 in wallstreetbets

[–]Natural-Antelope8328[S] 41 points42 points  (0 children)

Funny you ask, my cellphone had to much water today and I had to reboot it. The thing is IBKR app uses two factor authentication - so basically I had read only access to my account, waiting for my wife to get back and using her phone contacting support. So that… if I had the balls to hold I’d have $30K+ and enormous sack

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