Discover and read the best of Twitter Threads about #ecg

Most recents (18)

Fantastic talk about Sports Cardiology by @MichaelPapadak2 who was inspired by his mentor @SSharmacardio @CRY_UKwith ECG pearls see below. @s_gati @m_piepoli @Drstevenjcox Should #sportscardiology become a subspecialty of cardiology #cardiotwitter?
Athletic adaptation #ECG #sportscardiology in the context of asymptomatic patient without family history:
🏃‍♂️Sinusbradycardia (⬆️vagal tone)
🏃‍♂️high QRS complexes (↔️LVH criteria)
🏃‍♂️J-point / ST segment ⬆️ in all leads
🏃‍♂️tall/ hyper-acute t-waves
The black athlete's heart
🏃‍♂️anterior t-wave inversion
🏃‍♂️J-point/ convex ST-elevation
Differential diagnosis of STEMI, Myocarditis, Brugada
‼️‼️Lateral t-wave inversion needs to be investigated, 20-60% yield of cardiomyopathy
Read 7 tweets
Here’s a great #ECG of a man who presented to the ER with crushing chest pain.

[thread] Image
Here’s the ECG Computer Read:

"Non-specific ST abnormality, consider anterior subendocardial ischemia."

[2/x]
Take a good look at Leads V1-V3 and burn these morphologies and this pattern into your mind.

THIS is what Posterior #STEMI looks like on a Standard 12-Lead ECG!

[3/x] Image
Read 11 tweets
#Doctors and #Medicine need an #AI update.
Bold and convincing book.

@EricTopol
#ArtificialIntelligence has the ability to bring the fourth industrial revolution. Healthcare is deemed to be an industry which can get transformed the most.

#DeepMedicine
@EricTopol is a #cardiologist, historian of the present and a #MedicalFuturist.
He believes that the way we practice medicine now ( #ShallowMedicine ) relies too heavily on human inputs and is thus plagued by human biases and imperfections.

#DeepMedicine
Read 23 tweets
@Lafoller @SAEMonline @AliRaja_MD @MDaware @GitaPensaMD @LWestafer @PharmD_intheED @grepmeded @EcgStampede @BigC_MD You know we're a winner when we get zoom bombed 😂. Enjoying our new password protected room. #FOAMed #saem20 #whosgottalent Image
@Lafoller @SAEMonline @AliRaja_MD @MDaware @GitaPensaMD @LWestafer @PharmD_intheED @grepmeded @EcgStampede @BigC_MD First up: @PharmD_intheED presents his *incredible* "Pharmacy Friday Pearls" .

Hey @BrownEMRes I've got my next 3pm teaching round :) #SAEM20 #FOAMed

sites.google.com/presby.edu/pha… (cc @gradydoctor who needs to know about her homegrown talent)
Read 8 tweets
New #Coronavirus Research For #EPeeps (1/10):
While the use of hydroxychloroquine and azithromycin in patients with #COVID19 remains controversial, many patients receive this therapy. The primary adverse effect is QT prolongation and torsades de pointes/polymorphic VT. #JACCCEP
(2/10): A topical #COVID19 research letter published in #JACCCEP from investigators at @HeartsInRhythm in Vancouver explore the use of a handheld #ECG device versus a standard 12-lead ECG for QT monitoring. bit.ly/34joL10 Image
(3/10) The handheld #ECG would be ideal because it could minimize healthcare worker exposure. The study cohort included 22 patients referred to their center for a possible inherited arrhythmia syndrome. bit.ly/34joL10 #JACCCEP
Read 10 tweets
Abro hilo.
Evitemos malentendidos:
Epidemiología ≠ Infectología ≠ Microbiología.
Epidemiología es el estudio del comportamiento de las enfermedades en la POBLACIÓN. Aplica para TODAS (ej. Epidemiología del #cancer)
Primero necesitas tener diagnóstico objetivo de la enfermedad.
Usaré el ejemplo de #cancer:
Si tienes un tumor acudes con un especialista quirúrgico que DECIDIRÁ el abordaje DIAGNÓSTICO, una vez que tenga los resultados que confirmen si es #cancer o no, decidirá el tratamiento. Y eso se repite una y otra vez...
Con esos datos los epidemiólogos hacen lo suyo para poder realizar intervenciones POBLACIONALES, no individuales.
¿Han visto que sea el epidemiólogo el que le autorice una biopsa al #cirujano o una tinción especial al #patólogo?
Read 5 tweets
1/x
If you have difficulty interpreting an ECG, I will explain the basic method that I use, and I am sure it will help you. It's called the basic "method of Dr. Roig". Here we go..
2/x
R-ate
The first step is to calculate the HR.
Total QRS x 6 = HR.
If HR > 100 bpm = Tachycardia.
If HR < 60 bpm = Bradycardia.
3/x
O-bserve the rhythm
The second step is to observe the rhythm.
If R-R interval is equal = Regular rhythm.
If R-R interval varies = Irregular rhythm.
If P wave is upright in lead II = Sinus rhythm.
Read 8 tweets
Bcp d'externes ont du mal avec les ECGs. Je vous vois transpirer quand je vous demande ce que vous pensez de l'ECG qu'on m'apporte.

Je vais essayer de vous montrer comment je m'y prends, et quels sont mes moyens mémotechniques.
Un thread ECG, c'est par ici 💟
DISCLAIMER : Je ne suis qu'un interne de MG, loin de moi l'idée de me faire passer pour un cardiologue rythmologue aguerri. D'ailleurs, si je dis des conneries, n'hésitez pas à me reprendre.
L'idée est de vous transmettre une trame qui m'a permis jusqu'ici de me débrouiller.
Quand vous interpretez un ECG, soyez S.Y.S.T.E.M.A.T.I.Q.U.E
On ne le dira jamais assez.
J'utilise le "FRACHIQ". Chaque lettre correspond à quelque chose à regarder.
Si des étudiants me lisent, chaque fois que vous entendez le mot ECG, le mot "FRACHIQ" doit résonner en vous.
Read 42 tweets
1. “STEMI equivalent” #ECG patterns is crucial for every👨🏻‍⚕️👩🏻‍⚕️ dealing with #ACS.
-in 10-25% pts for urgent #PCI
📍Wellens’ syndrome
📍de Winter sign
📍hyperacute T waves,
📍left bundle branch block (LBBB)
📍right bundle branch block (RBBB)

📎ajconline.org/article/S0002-… Image
2.📍Wellen’s syndrome📍
(other names Wellens' sign, Wellens' warning, Wellens' waves):
is a pattern of deeply inverted or biphasic T waves in V2-3, which is highly specific for a critical stenosis of the left anterior descending artery (LAD) ImageImage
3.📍de Winter sign📍
-ECG abnormality described by de Winter et al. in 1998
-Characterized by 1-3 mm of ST-depression with upright, symmetrical T-waves
-Suspicious for proximal occlusion of the LAD
-Recognized as a STEMI equivalent by Rokos et al. in 2010 Image
Read 6 tweets
Today's article in @TheKenWeb contemplates "what ails" Indian #ECG Companies and concludes "Plenty as it turns out, starting with #healthcare providers themselves."

the-ken.com/story/what-ai-…

I have heard these sort of comments a lot in various flavours from different #HealthIT
What usually happens is a group of highly skilled, honest, hardworking Engineers or Management Graduates #Startups develop a product or service, test it and find it successfull but when they want to market is doctors don't buy
So
They start blaming doctors, directly or indirectly saying that this is a magic solution which will revolutionalise health and save 20 crores people per year, but this dull headed docs are not able to see the potential and / or afraid of technology
Read 44 tweets
(1/10) #JACC #Tweetorial: T2MI is #cvMI due to alterations in either myocardial oxygen supply and/or demand in the absence of acute atherothrombosis. It can occur in pts w/ normal coronaries and in obstructive/non-obstructive stable #cvCAD. fal.cn/AGvR
(2/10) #JACC #Tweetorial: Frequency of T2MI varies widely due to differences in populations, comorbidities, adjudication processes, & cTN assays, w/ a major challenge being the absence of uniform definitions that can be useful w/ high reproducibility. fal.cn/AGvR
(3/10) #JACC #Tweetorial: How T2MI manifests depends on the pathobiology & clinical context, w/ T2MIs less likely to have chest pain, imaging/#ECG abnormalities & ⬇ cardiac troponin concentrations compared to T1MI. Many T2MIs are driven by other illness. fal.cn/AGvR
Read 10 tweets
The countdown to #ACC19 has begun!

Here’s a THREAD about the much anticipated #AppleHeartStudy

(results to be presented at 9am THIS Saturday, March 17 at #ACC19 by #EPeeps Mintu Turakhia AKA @leftbundle from @SCCR_Stanford!)

#ACCEP
The #AppleHeartStudy aimed to test the ability of a smartwatch algorithm to detect an irregular pulse consistent with AF, & to estimate its diagnostic yield in a large population:
#ACC19 #ACCEP
The cool thing about the #AppleHeartStudy, is that all of it was done virtually. ALL. OF. IT. Enrollment, consent, study visits, patch monitoring. Here are the #AppleHeartStudy ‘s main objectives in detail:
#ACC19 #ACCEP
Read 15 tweets
1/ Get your #ECG learning on with this new #12leadthursday today! #FOAMed
2/ What #pathophys helps explains those delta waves? #cardiotwitter
3/ Lets get into #arrhythmia associated with WPW
Read 4 tweets
Apple has a section of their website answering questions doctors may have regarding their latest #ECG technology. Where are the answers to the REAL questions #patients want to know about? For example, if I get an alert:

#AppleWatch #digitaltech #wearables #PatientAdvocacy
2) when do I confidently ignore, act upon, or wait to make actionable decisions about alerts I’ve received? #AppleWatch #digitaltech #digitalhealth #wearables #Innovation #PatientAdvocacy #healthcare #medtwitter
Read 7 tweets
#PregnancyCardiology Primer courtesy of a fantastic lecture by Dr. Sabrina Phillips from Mayo Clinic. Follow the thread #ACCFIT s for a good overview of considerations. #FelllowsFirst #MedEd

How does plasma volume and erythrocyte volume change during pregnancy? 1/12
#PregnancyCardiology Primer

Other important factors in the cycle of volume expansion and decreased SVR
2/12

#FellowsFirst #ACCFIT
#PregnancyCardiology

Cardiac Output changes in Pregnancy

3/12

#FellowsFirst #ACCFIT
Read 12 tweets
#FITSurvivalGuide #ACCFIT
Topic - Ventricular Tachycardia!

Agenda:
1- Approach to evaluating #VT
2- Management of #VT
3- Practice Cases

Please share your thoughts & input to this #tweetorial!

@ACCCardioEd @ACCinTouch #FOAMed @MichiganACC
#FITSurvivalGuide #ACCFIT
1/10 – Ventricular Tachycardia
Simplified approach to evaluate tachycardia:
Rule #1 – If HD unstable ➡️ shock!

If HD stable, sit down & think.
Step # 1 - QRS: wide or narrow?
Step # 2 - Rhythm: regular or irregular?

This will narrow DDx!
#FITSurvivalGuide #ACCFIT
2/10 - Wide complex tachycardia

Always consider clinical Scenario!
Look for history of MI and cardiomyopathy ➡️ strongly favor #VT!

* If structural heart disease is present, you will be correct 9/10 times with diagnosis of VT!
Read 26 tweets
Intro/10 #STEMI #tweetorial #FITSurvivalGuide for #ACCFIT. Organized by @dr_chirumamilla. @ACCCardioEd @ACCinTouch
1/10 #STEMI from ruptured plaque, less plaque erosion. @BraunwaldEugene pic demonstrates LDL oxidized, glycated➡️cytokines release express adhesion molecules➡️monocytes roll, diapedesis➡️ingest LDL, become foam cell➡️SMC migrate, proliferate➡️some apoptosis➡️plaque Image
2/10 Why #STEMI on #ECG
1. Diastolic current of injury: current away from relatively depolarized injury➡️TQ depression➡️normalized on ECG➡️ST elevation
2. Systolic current of injury: current towards injury due to early repol➡️ST elevation Image
Read 19 tweets

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