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Nov 19, 2020 37 tweets 39 min read Read on X
#CardioNerds & #EPeeps, ready for an EKG Challenge⁉️⁉️

✍️Answer to follow on Monday 11/23 🗓️

🏥You see this 58 yo🧍‍♂️w/ ischemic CM in clinic.

🤔What's the rhythm❓

Brought to you by EKGaction: ekgaction.com Image
Would you use a CardioNerds EKG Case of the Week - shared weekly?
🥁 AND THE ANSWER IS:

💔Atiral Tachycardia with VPCs
💔A-sense V-pace
💔3:2 AV Wencheback

What's "Mode Switching? - read below!

Brought to you by EKGaction: ekgaction.com Image ImageImage
#CardioNerds Weekly EKG #2❤️🤓

🙎‍♂️67 M s/p AF Ablation:
Is 9th "p" premature❓
Why is there PR prolongation❓

📝Answer in 2⃣ days.

⚡️Powered by EKGaction.com

✅FIRST correct answer wins a subscription to EKGaction👏 Image
👏Congrats @KTamirisaMD on being this weeks #ECG champion!

🥁AND THE ANSWER IS....

👉Nope! The 9th P wave is not premature
👉Concealed Conduction accounts for the PR prolongation

See more in the 🖼️below

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#CardioNerds Weekly EKG #3❤️🤓

👴87 M 2 days post-#TAVR: What's your full interpretation?

🧠HINT: there are 6⃣findings‼️

📝Answer in 2⃣days. #EPeeps

⚡️Powered by EKGaction.com.

💪Winners for EVEN-number EKGs get a free subscription! Image
🥁EKG #3 - ANSWER

👴87 M 2 days post-#TAVR: What's your full interpretation?

✅Sinus rhythm @ 94 bpm
✅Accelerated junctional rhythm @ 72 bpm
✅AV dissociation
✅3rd deg AVB
✅Left axid dev
✅LVH with repol abn

⚡️Powered by EKGaction.com.

EKG #4 - next week! ImageImage
#CardioNerds Weekly EKG #4 ❤️🤓

😱56 F p/w ED frightened. +H/o anxiety, 🚫meds.

⁉️ How do you interpret this EKG?

📝Answer tomorrow! #EPeeps

✅1st correct answer wins a subscription to EKGaction💪

⚡️Powered by EKGaction.com Image
👏Congrats @NaelAldweib - winner of an EKGaction subscription!

🥁ANSWER:
✅Sinus Tach @ 107 bpm
✅Incorrect lead placement; RA/LA transposition
✅O/w normal

🙏 @KTamirisaMD for submittign the correct answer via DM!

⚡️Powered by EKGaction.com ImageImage
#CardioNerds Weekly EKG #5❤️🤓

🏥16 yo Saudi Arabian boy p/w dyspnea, weakness, and CHF. Born with a normal heart.

Code this EKG...

📝Answer in 1⃣day. #EPeeps

⚡️Powered by EKGaction.com.

💪Winners for EVEN-number EKGs get a free subscription! Image
🥁EKG #5 - ANSWER

🏥16 yo Saudi Arabian boy p/w dyspnea, weakness, and CHF. Born with a normal heart.

ANSWER:
✅Sinus Brady
✅RA abnormality/enlargement
✅LA " "
✅AV block, 1st deg
✅Right axis deviation
✅RVH

⚡️Powered by EKGaction.com.

EKG #6 - next week! ImageImage
#CardioNerds Weekly EKG #6❤️🤓

🏥46 M s/p MVr now with neck discomfort - WHY?

📝Answer tomorrow! #EPeeps

✅1st correct answer wins a subscription to EKGaction💪

⚡️Powered by EKGaction.com Image
👏Congrats @negeen_sh - winner of an EKGaction subscription!

🥁EKG #6 ANSWER:
✅AV dissoc w/ cannon A waves➡️neck discomfort
✅Atrial rhythm = sinus @ 81bpm
✅Vent rhythm = accelerated junctional @ 79 bpm

#bruinhearts @uclaCVfellows

⚡️Powered by EKGaction.com ImageImageImage
#CardioNerds Weekly EKG #7❤️🤓

🇮🇹 53yo Italian F w/ COPD presents after eating too much ribollita🥘 .

❓Explain the ST abnormalities in 2, 3, aVF.

📝Answer in tomorrow. #EPeeps

⚡️Powered by EKGaction.com.

💪Winners for EVEN-number EKGs get a free subscription! Image
👏Congrats @JamesETooley

🥁EKG #7 ANSWER:
✅Atrial Repolarization (Ta waves)

⚡️Powered by EKGaction.com ImageImage
#CardioNerds Weekly EKG #8❤️🤓

🥴86 M w/ VVI PPM p/w dizziness.
1⃣What is the Dx?
2⃣How to Rx?

📝Answer tomorrow! #EPeeps

✅1st correct answer wins a subscription to EKGaction💪

⚡️Powered by EKGaction.com Image
👏Congrats @OzdemirMDPhD, #ACCFIT @CU_Cardiology
- winner of an EKGaction subscription!

🥁EKG #8 ANSWER:
✅Pacemaker Syndrome
✅Add an atrial lead for DDD pacing

⚡️Powered by EKGaction.com ImageImage
#CardioNerds Weekly EKG #9 ❤️🤓

🏥37 yo F w/ diastolic murmur @ RUSB & this CXR presents with WHICH EKG, and WHY?
a) TOP pink EKG
b) BOTTOM white EKG

📝Answer in 1⃣day. #EPeeps

⚡️Powered by EKGaction.com.

💪Winners for EVEN-number EKGs get a free subscription! ImageImage
🥁EKG #9 ANSWER: EKG A (top and pink)

✅LVH with diastolic overload pattern

PEARL:
☑️LVH with diastolic O/D --> peaked upright Ts
☑️LVH with systolic O/D --> TWIs

⚡️Powered by EKGaction.com ImageImage
#CardioNerds Weekly EKG #10❤️🤓

🚨49 yo M p/w chest pain, rx w/ SL NTG🚨
1⃣Intrepet EKG; why tachycardic?
2⃣What's the 2nd beat called?

📝Answer tomorrow! #EPeeps #emergencymedicine

✅1st correct answer wins a subscription to EKGaction💪

⚡️Powered by EKGaction.com Image
👏Huge Congrats @a_h_ghoneem, @CardioNerds Academy Fellow of House Jones!
- winner of an EKGaction subscription!

🥁EKG #6 ANSWER:
✅Inf STEMI with RV MI
✅NTG > ⏬BP > ⏫HR
✅2nd beat = FUSION beat.

High voltage signPowered by EKGaction.com ImageImageImage
#CardioNerds Weekly EKG #11❤️🤓

🏥16 yo F with panic attacks...

❓What is the rhythm & dx?

📝Answer in 1⃣day. #EPeeps

⚡️Powered by EKGaction.com

💪Winners for EVEN-number EKGs get a free subscription! Image
@KTamirisaMD @JamesETooley @DrRachitaEP @AjayPMD @EuniceDuganMD @CBlumenthal2 @RichardAFerraro @EvelynSongMD @ThomasMDas @andishahu 🥁EKG #11 ANSWER:

✅Sinus Arrhythmia
✅Intermittent WPW pattern

⚡️Powered by EKGaction.com ImageImage
#CardioNerds Weekly EKG #12❤️🤓

👩‍👦26 yo G1P0 F w/ systolic murmur & exertional syncope.
1⃣What is the Dx?
2⃣Why did her sx ⬇️w/ pregnancy? #CardioObstetrics

✅1st correct answer wins a subscription to EKGaction💪

⚡️Powered by EKGaction.com Image
👏Congrats @heartstringsmd
- winner of an EKGaction subscription!

🥁EKG #12 ANSWER:
💔HCM
🤰⬆️blood vol in pregnancy so ⬇️murmur/obstruction

⚡️Powered by EKGaction.com ImageImage
#CardioNerds Weekly EKG #13❤️🤓

🏥66 female secretary p/w chest pain & dyspnea.

❓What's causing her sx? Be specific! 🎯

📝Answer in 1⃣day. #EPeeps

⚡️Powered by EKGaction.com.

💪Winners for EVEN-number EKGs get a free subscription! Image
(Meant sedentary female, not secretary!)
#CardioNerds Weekly EKG #15❤️🤓

🚨68 M w/ recurrent syncope. On haloperidol.

❓What EKG abnormality predisposes to this arrhythmia?

❓When born with this, what Doppler echo & EKG finding predicts arrhythmia risk?

💰Use promo *heart21* for a discount to EKGaction Image
🥁EKG #15 ANSWER:
✅Long QT Interval
✅More profoundly negative ElectroMechanical Window

👏🏽Nicely done @PatrickZakka, @CardioNerds Academy fellow, soon to be @uclaCVfellows #FIT

💰Use promo *heart21* for a discount to EKGaction.com ImageImage
#CardioNerds Weekly EKG #16❤️🤓

🥴41 yo M w/ recurrent dizziness while standing after running.
1⃣What's the rhythm?
2⃣What's the Dx?

✅1st correct answer wins a subscription to EKGaction

💰Use promo *heart21* for a discount to EKGaction.com Image
👏🏾Congrats @ArthurKowalczyk
- winner of an EKGaction subscription!

🥁EKG #16 ANSWER:
✅Sinus, Junctional, & 3rd AVB

Powered by EKGaction.com ImageImage
#CardioNerds Weekly EKG #17❤️🤓

🏥35 yo M planned for bicuspid AV surgery

❓What's the negative deflection in PR interval?

⚡️Powered by EKGaction.com. #EPeeps

💪Winners for EVEN-number EKGs get a free subscription! Image
🥁EKG #17 ANSWER:
✅Left atrial enlargement (LAE) and atrial repolarization (Ta wave)

⚡️Powered by EKGaction.com ImageImage

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