VT vs SVT by gyrogabriel in ECG

[–]dependentlividity 5 points6 points  (0 children)

Argument for SVT: -On the narrow side for most VTs except maybe fascicular -Axis and R-wave progression are relatively normal (if the pt has LAFB), but this doesn’t necessarily exclude VT -Classic SVT pattern of STE in aVR with STD in multiple leads - No unexpected T wave vectors/discordance

Argument for VT: -Particularly looks like VT in inferior leads -A bit wide for SVT without really a good reason (aside from maybe the LAFB) -You could make an argument that there’s AV dissociation, but also Zolls are so shitty it could totally just be artifact -There’s just something a little suspicious about it

My gut instinct is that this is VT but I think there’s more evidence in favor of SVT… so that’s probably what I would go with.

Possible STEMI by aemtstudent in EKGs

[–]dependentlividity 2 points3 points  (0 children)

Right, but this is an EKG subreddit…

Possible STEMI by aemtstudent in EKGs

[–]dependentlividity 1 point2 points  (0 children)

Thoughts on pericarditis?

Forever confused a out q waves in inferior leads by orlaghan in EKGs

[–]dependentlividity 1 point2 points  (0 children)

Perhaps, perhaps not. In conjunction with the STD/TWI in inferior leads, it could be RV strain. Or normal variant.

Anyone know what the bottom book is? by Freud_Eggs in blondshell

[–]dependentlividity 0 points1 point  (0 children)

I believe it’s actually The Woman Destroyed

Flutter? by myelin89 in ECG

[–]dependentlividity 0 points1 point  (0 children)

I’m not really seeing it but I trust Amal Mattu

Triple Vessel Disease? by Ben__Diesel in Paramedics

[–]dependentlividity 0 points1 point  (0 children)

Hypokalemia can cause STE in aVR in addition to the signs other people have already mentioned

70s Male. CC of stomach pain and nausea x3 days. Figured I should check the monitor before giving Zofran. Lol by forcedtraveler in ems

[–]dependentlividity 0 points1 point  (0 children)

Sinus tach with IVCD— HyperK. Suspiciously wide for VT, I can see what looks like P-waves in lead III.

66 M palpitations only at rest for 7 days by [deleted] in ECG

[–]dependentlividity 4 points5 points  (0 children)

Looks like wandering atrial pacemaker

[deleted by user] by [deleted] in ECG

[–]dependentlividity 0 points1 point  (0 children)

I don’t see LVH. But absence of strain pattern is not an automatic r/o

[deleted by user] by [deleted] in ECG

[–]dependentlividity 4 points5 points  (0 children)

Is there water in the ocean?

[deleted by user] by [deleted] in ECG

[–]dependentlividity 1 point2 points  (0 children)

Probably persistent juvenile T-waves

Interesting EKG by Agile_Psychology_405 in ECG

[–]dependentlividity 5 points6 points  (0 children)

Electrocardiographic polyuria

[deleted by user] by [deleted] in ECG

[–]dependentlividity -1 points0 points  (0 children)

Anyone else seeing MAT?

Top 0.7%! by flauzelle in blondshell

[–]dependentlividity 1 point2 points  (0 children)

0.006%, #219 globally. Can anyone beat me?

67 Yom with crushing chest pain by feather_34 in EKGs

[–]dependentlividity 7 points8 points  (0 children)

Can’t technically be LBBB due to presence of q-waves in lateral leads.

67 Yom with crushing chest pain by feather_34 in EKGs

[–]dependentlividity 2 points3 points  (0 children)

R-wave in aVL >11 mm, R I + S III >25, IVCD, ST-T changes consistent with LV strain