Typical Atrial Flutter on ECG: Understanding Clockwise vs Counterclockwise Circuits Atrial flutter is a macro–reentrant arrhythmia involving a large circuit, usually in the right atrium. It’s often described as a “merry-go-round” rhythm with a cycle length of ~200 ms,

65 y/o F with palpitations Right Ecg after 12mg Adenosine Likely Dx? Milan Koštek Cciari1 Amhar Iqbal Leon Muhammad Ibrahim Irma Jana Borucka Jagdish Singh #ecg #ekg #cardioX #cardiotwitter

A 48-year-old man presents with early-morning chest pain that wakes him from sleep. He has no significant cardiovascular risk factors except for occasional smoking. Cardiac enzymes are normal. What is the most likely diagnosis?

🧵 A case of macroreentrant atrial tachycardia or flutter with ECGs and ECG Holter 🧵 V3 looks like an AT with variable AV conduction while limb leads like an atrial flutter. ECG upon arrival to the hospital.

Best explanation for this ECG? #EPeeps

61 y/o F with palpitations Right Ecg after 6mg Adenosine What will explain the different Qrs morphology in WCT? ALBERTO ALFIE Sergio Pinski Syamkumar JMC Dave Richley Derek Connelly El Hamriti Mustapha Kevin Brady Willis Kwandou Arron Pearce Gustavo Costa #epeeps #ecg

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Dx- De winters pattern This is De Winter pattern 👉🏻proximal LAD occlusion (STEMI equivalent). A very high risk ecg, immediate activation of cath lab recommended. Breakdown : • Up-sloping ST depression at the J-point in V1–V6 • Tall, symmetric hyperacute T waves in

A 40-year-old patient who previously underwent SVT ablation reports experiencing palpitations now.

112Ferdi I don't see any type of SVT pattern in aVR by Vereckei here but NW axis with no rapid initial activation (one should consider at least IVCD but I can neither see the atrial driver if you claim this to be an SVT). x.com/i/status/19763…

Fascinating Wide Complex Tachycardia and instructive ECGs during chest pain drsmithsecgblog.com/fascinating-wi… Magnus Nossen, MD

Complete AV block? or 2:1 AV block? What’s your diagnosis?

OMI signs detected‼️‼️🚑🚑 #ECG shows: 1. Tall broad symmetrical TW in V2-V5 ,⏩ Hyperacute TW 2. Subtle STE Lead 1, aVL and V2 with STD Lead 3 ⏭️🇿🇦🇿🇦 3. Reciprocal STD inferior leads 4. Loss of Precordial TW balance⏭️ TW V2 larger than V6 🔺LAD OMI - DCB to mid LAD/D1

Answer: Rate Related LBBB (AT with LBBB) #ECG shows WCT with HR ~ 170bpm: 1. Typical Lbbb Pattern with very thin septal r wave - SVT in origin 2. P on TW Reverted with IV Adenosine with termination with features of AT. Baseline narrow QRS with similar axis✅

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#ECG shows irregular Bradyarrhythmia with HR 33-43bpm (CHB become less likely diagnosis) 1. P in Black = Conducted P Wave 2. P in Red = Non - Conducted PW (drop beat) 3. R2,R4,R6 = Conducted Beat in bigeminy pattern 4. Pattern 3 P waves : 1 QRS 🔺High Grade 3:1 AV Block

Brugada paterni tip 2. V2'de, merkezde eyer şeklinde bir çöküntü ile birlikte ST yükselmesi gözlenir. Eyer sırtı şeklinde ST yükselmesi vardır. J noktası en az 2 mm, ST segmenti ise en az 1 mm yükselmiştir. T dalgası pozitif veya bifazik olabilir.