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Has been having indigestion all morning. Reciprocal ST depression in the inferior leads. Poor R wave profession. Sinus tachycardia.

Left axis deviation. An introduction to the primer can be found here. To return to the Primer content overview click here.

How to use this section? We have provided one-liner introductions to each, and the answers are below the ECG. For those looking for a challenge, cover up the answer and quiz yourself.

Case 1 year-old male. Case 2 year-old female was out for a jog, sudden felt palpitations. Case 3 year-old female. Case 4 year-old male. Palpitations and lightheadedness.

Answer Interpretation: Atrial Flutter with conduction Key features: Narrow complex, regular tachycardia. Case 4b Same year-old male from last ECG.

Case 5 year-old male with extensive cardiac history. Case 6 year-old male with history of psychiatric disorder was recently prescribed levofloxacin for his bacterial pneumonia.

Case 7 year-old male. COVID positive. Case 1 year-old from retirement home. Answers Interpretation: Second degree AV block block. Case 2 year-old male.

Has been feeling really dizzy. Answers Interpretation: Complete heart block. Unsubscribe anytime. Email address is invalid.

Theme based on Lanyon by mdo. Manage New Post Logout Login. ECG Arms opens Fridays 6. When it does reopen, we will be back , safely - but we will also carry on with Zoom for those of us who need to continue to shield.

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These real-life experiments include: Walking tadpoles, texting "fish," planting fire-hydrant gardens and more.

Developmental disorders in children are typically diagnosed by observing behavior, but Aditi Shankardass suggests we should be looking directly at brains.

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Perform ECG when in sinus rhythm to confirm the patient has pre-excitation delta waves. Consult cardiology. He now presents feeling worse. If stable — give Magnesium Sulphate, correct electrolyte abnormalities, stop all QT-prolonging medications, consider overdrive pacing.

Interpretation: Ventricular tachycardia Key Features: Wide complex, regular tachycardia. The presence of a capture beat confirms that this is ventricular tachycardia.

What is your next step: If there is a pulse — synchronized cardioversion. This review is all about differentiating really slow rhythms.

Remember, SOME asymptomatic bradycardias can be managed as an outpatient. Had syncopal event today. Interpretation: Second degree AV block block.

HR 30 bpm. Key Features: Every other P wave is not conducted. What is your next step: Consider isoproterenol infusion. External pacing if unstable.

Consult Cardiology. Interpretation: Complete heart block. Wide complex escape rhythm with right bundle branch block morphology.

Placement of a transcutaneous transvenous pacemaker may be warranted. Diffuse PR depression. Colchicine x 3 months may also be warranted to prevent complications.

Outpatient Cardiology consult for follow-up and echocardiogram to assess for pericardial effusion. Was cutting his lawn by herself this morning.

What is your next step: Consult interventional cardiologist. Consider primary PCI or thrombolysis. If thrombolysis is chosen, consult local protocol and determine if patient has any contraindications to thrombolysis.

Try and beat this time. Hi All, this week is diabetes awareness week. As many of you know, diabetes is one of the major risk factors for heart disease.

Many of you may have been told that you are at risk of or may have diabetes. I want to remind you to keep talking with your diabetic specialists if you feel your diabetes is not properly controlled.

For further information please always use reputable resources such as the British Heart Foundation:. West London's community heart exercise and wellness group Welcome!

You're following this blog. Follow this Posthaven. Enter your email address to get email alerts about new posts on this site.

Unsubscribe anytime. Email address is invalid. Theme based on Lanyon by mdo. Manage New Post Logout Login. ECG Arms opens Fridays 6.

When it does reopen, we will be back , safely - but we will also carry on with Zoom for those of us who need to continue to shield.

In the meantime, there's a lot going on - our allotment is open and thriving, there's a fitness class every weekday and there are talks and discussions, too.

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