Right Axis Deviation
Results:
Interesting Cases from UMMC, Part II
A 58-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained:
Differential Diagnoses: must know causes of right axis deviation and wide QRS complexes
A 30-year-old man is pulled over by police for speeding. He begins feeling nauseous and has multiple episodes of vomiting. During transport to the emergency department by EMS he is…
STAT ECG Diagnoses: right ventricular hypertrophy criteria, electrical alternans vs. respiratory variation, and much more
An ill appearing patient arrives to the emergency department in extremis and history is limited. The following ECG is obtained:
UMEM cases that highlight the right way to think about new right axis deviation and much more!
An 87-year-old man is brought to the emergency department by EMS with acute chest pain. The following ECG is obtained on arrival:
Must know ECGs you will see on board exams and have to recognize in real life
A 34-year-old man is brought to the emergency department with delirium and agitation. The following ECG is obtained:
Potpourri of cases: generic polymorphic ventricular tachycardia vs. torsades de pointes, regularized atrial fibrillation, and much more!
A 60-year-old man presents to the emergency department with generalized weakness and intermittent palpitations. Vital signs are normal on arrival. The following ECG is obtained during an episode of palpitations:
Bradydysrhythmia: An irregular rhythm with grouped or clumped beats
A 75-year-old woman presents to the emergency department with palpitations and near syncope. She is noted to be bradycardic with an irregular rhythm. The following ECG is obtained on arrival:
Bradydysrhythmia: when is it actually considered a complete heart block?
A 52-year-old man presents to the emergency department with chest pain associated with nausea and diaphoresis. The following ECG is obtained on arrival:
STAT ECG Diagnoses: causes of right axis deviation, and evaluation of ST segments in patient with right bundle branch block (RBBB)
An 80-year-old man presents to an emergency department in Chile with chest pain radiating to the right shoulder and back. The following ECG is obtained on arrival and computer interpreted…
STAT ECG Diagnoses: the right way to think about right axis deviation
A 91-year-old woman with PMHx of HTN, aortic stenosis, and dementia is brought to the ED by EMS after a syncopal episode when walking to the bathroom. Vital signs are…
Differential Diagnoses: important considerations in patients with new onset seizures or altered mental status, must know diagnoses in the emergency department
A 40-year-old man is brought into the ED after being found in the street and noted to have intermittent seizures. He is tachycardic, hypertensive, and febrile. The following ECG was…
ECG Basics and Fundamentals: right axis deviation differential and ST segment elevation in rightward leads
A 48-year-old woman presents to the ED with chest pain and near syncope. The following ECG is obtained:
STAT ECG Diagnoses: how to use ECG differentials to clinc the diagnosis in patients who are altered and can not provide a reliable history
A 50-year-old woman is found unconscious by a family member this morning. She was last known normal yesterday afternoon. On arrival to the ED she is minimally responsive and only…
2019 ECG Competition Answers (Part 2/3)
This week we review the answers to questions 7-11, & 13 from the 7th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red…
ECG Basics & Fundamentals: ECG findings of dextrocardia
A 22-year-old woman presents to the emergency department with atypical chest pain. Her vital signs are normal. The following ECG is obtained:
STAT ECG Diagnoses: the most rapid killer in diabetic ketoacidosis (DKA)
A 38-year-old male presents to the emergency department with intermittent chest pain for a few weeks. He has insulin dependent diabetes and a history of noncompliance with medications. He looks…
STAT ECG Diagnoses: the ECG findings in sodium channel blocker toxicity
A father calls an ambulance for his 16-year-old daughter who is not feeling well. She has been listless and having palpitations. She is found to be tachycardic with a normal…
Differential Diagnoses: when STEMIs can present with right axis deviation
HPI: A 57-year-old with PMHx of HTN and cigarette smoking presents to the ED with chest pain and dyspnea. The following ECG is obtained: Case ECG Before watching this week’s…
Differential Diagnoses: considerations in patients with right axis deviation (RAD) and T wave inversions
HPI: An 86-year-old male with PMHx of MI, HTN, HLD, COPD, and CVA presents with abrupt onset chest pain, dyspnea, and nausea. Pain started a few hours ago, is non-radiating,…
ECG Tags
- 11th Annual UMEM ECG Competition
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- LAD
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- lead misplacement
- lead V1
- Left axis deviation
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- monomorphic VT
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- Na channel blocker toxicity
- narrow & irregular tachycardia
- narrow & regular tachycardia
- Narrow complex and regular rhythms
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- Narrow complex irregular tachycardia
- Narrow Complex Regular Tachycardia
- Narrow Complex Tachycardia
- Nikelekam T-waves
- non-conducted PACs
- Non-STE ACS
- Non-sustained Ventricular tachycardia
- Non-sustained VT
- Nonspecific intraventricular conduction delay
- nonsustained ventricular tachycardia
- Normal ECG
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- Normal variant patterns
- normal variant ST elevation
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- NSVT
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- overdose
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- post arrest ECG
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- Posterior MI
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- Potpourri
- PR segment
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- Pre-hospital ECG
- preexcitation
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- Premature beats
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- PRWP
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- Pulmonary Embolism
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- R-wave
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- R-wave progression
- RAD
- rate & rhythm
- RBBB
- Really wide complex tachycardia
- reciprocal changes
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- repolarization abnormalities
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- Resolved ST segment elevation
- Respiratory variation
- Retrograde P waves
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- Rhythm
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- Right axis
- Right Axis Deviation
- Right bundle branch block
- right heart strain
- Right sided leads
- Right Ventricular Hypertrophy
- Rightward axis
- rollercoaster T waves
- RRWCT
- RV MI
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- Severe hypothyroidism
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- Shark fin STEMI
- Short PR interval
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- Sinus arrest
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- Sodium channel blocker toxicity
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- ST
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- STEMI
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- strain
- Stress Testing
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- Systematic approach to ECG
- T wave inversion differential
- T-wave abnormalities
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- T-wave inversion
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- T-waves
- Tachycardia
- Tall R wave in V1
- Tamponade
- TCA
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- Terminal QRS distortion
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- TP segment
- Transient STEMI
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- U-waves
- unstable bradycardia
- V1
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- vasospasm
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- Ventricular rhythm
- Ventricular rhythms
- Ventricular Tachycardia
- Ventricular tachycardia mimics
- Ventricular tachycardia vs. SVT with aberrant conduction
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- VF
- VT
- VT mimics
- w Voltage
- WCT
- Wellens
- Wellens waves
- Wellens’ syndrome
- Wide complex QRS
- wide complex regular tachycardia
- Wide complex tachycardia
- Wide QRS
- Wide QRS interval
- wide vs. narrow QRS
- Wolff Parkinson White
- WPW
- WPW with atrial fibrillation
- WPW with SVT
- Young patients
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