A 60 yo male came into Midtown a few days ago for generalized weakness. He was hemodynamically stable and the EKG above was obtained. With an irregularly irregular wide complex tachycardia like this our differential is fairly short… 1) A-fib or MAT with aberrant conduction (aka a bundle branch block) 2) A-fib or …
Category: Teaching EKG’s
May 28
EKG of the Day
Remember: Heart attacks occur in paced rhythm’s! Sgarbossa’s Criteria: Concordant ST elevation > 1mm in leads with a positive QRS complex (score 5) Concordant ST depression > 1 mm in V1-V3 (score 3) Excessively discordant ST elevation > 5 mm in leads with a negative QRS complex (score 2). A total score of ≥ 3 …