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Basics
Basics
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sinus arrhythmia
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left axis deviation
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ventricular escape
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premature atrial contraction
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low voltage EKG with electrical alternans
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right atrial enlargement
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dextrocardia
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3* AV block with junctional escape rhythm
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LA-RA limb lead reversal
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left atrial enlargement and premature ventricular contraction
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prolonged QTc
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right axis deviation
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left ventricular hypertrophy
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normal EKG for young child (12 day old here): RAE, right axis deviation with tall R waves in V1-V3
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Crochetage sign-ASD
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right ventricular hypertrophy
Blocks
Blocks
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Mobitz I 2* AV block (Wenckebach)
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LBBB
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nonspecific intraventricular conduction delay
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1* AV block and right bundle branch block
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left anterior fascicular block
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3* AV block
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Mobitz II 2* AV block
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rate-related LBBB
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left posterior fascicular block
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LBBB with positive Sgarbossa (concordance in aVL)
Narrow Complex Tachycardias
Narrow Complex Tachycardias
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atrial fibrillation
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MAT
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tachy-brady syndrome
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atrial fibrillation with Ashman phenomenon
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AVNRT
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ectopic atrial rhythm
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atrial flutter
Wide Complex Tachycardias
Wide Complex Tachycardias
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VT-taller left rabbit ear, AV dissociation, fusion complex
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ventricular fibrillation
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Idiopathic VT-RVOT VT
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VT-capture & fusion beats, notched S wave, taller left rabbit ear, R/S <1 in V6
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VT-negative concordance, Josephson's sign, RS>60ms
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SVT with LBBB
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VT-AV dissociation, extreme right axis deviation, positive concordance, RWPT>50ms in II
OMI
OMI
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DeWinter's T Waves
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inferior OMI
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anterolateral OMI
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Wellen's syndrome
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posterior OMI
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hyperacute T waves
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sharkfin OMI
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left main coronary occlusion
NOMI/ACS
NOMI/ACS
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pathologic Q waves
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terminal QRS distortion
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poor R wave progression
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T wave inversions
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QRS fragmentation
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ST depression
Ischemia Mimics
Ischemia Mimics
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early repolarization
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pericarditis
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benign t wave inversion
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pulmonary embolism
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ventricular aneurysm
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intracranial hemorrhage
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atrial repolarization
Tox/Metabolic
Tox/Metabolic
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digoxin effect
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hyperkalemia
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sodium channel blocker toxicity
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hypokalemia/hypomagnesemia
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hypocalcemia
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hyperkalemia
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digoxin toxicity
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hypercalcemia
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digoxin toxicity with bidirectional VT
Syncope
Syncope
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HOCM
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WPW delta wave
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ARVC
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WPW atrial fibrillation
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Brugada syndrome
Pacemaker
Pacemaker
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intermittent oversensing (3rd beat)
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pacemaker-mediated tachycardia
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failure to capture
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undersensing
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