Dr Razi @DrRazi4 Twitter profile

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Dr Razi

@DrRazi4

4 months

#ECG shows; 1. Sinus Tachycardia with HR 150bpm; (44% in Acute PE) 2. S wave in V6- vector towards right side due to RV dilatation. 3. S wave in Lead 1; 4. TWI in V1 and Lead 3- 88% sensitive, 99% specific for PE. 5. RAD 🔺Acute PE is the first diagnosis✅

Vasovagal _Syncope _53

@NavinSharma53

4 months

50 Yrs Male with SOB .Comment on ECG @DrRazi4 @Ecgloverr @EcgOxford @ecgrhythms @EkgHacks @JasonWinterECG @Dr_OkeefeECG

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Dr Razi

@DrRazi4

10 months

De Winter T waves. Tall, prominent, symmetrical T waves in the precordial leads Upsloping ST segment depression > 1mm at the J point in the precordial leads Absence of ST elevation in the precordial leads Reciprocal ST segment elevation (0.5mm – 1mm) in aVR

Dr Razi

@DrRazi4

10 months

Another good ECGs; Man in early 30s; smoker; central chest pain; PS 3/10; VS stable. What do you think🤔❓❓😥 #ECG #ecg #ecgchallenge @PMcardioBot

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Dr Razi

@DrRazi4

8 months

@DrRajeshG1 Ecg findings: 1. Sinus tachycardia 2. S wave in v6 - rotating heart to the right side. 3. qR pattern in V1 suggestive of RV dilatation 4. TWI in V1 and Lead 3 suggestive of PE (Kasuge et al) 5. S1Q3T3 Features suggestive of Acute Pulmonary Embolism.

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Dr Razi

@DrRazi4

13 days

#ecg shows monomorphic WCT with HR ~150bpm. It has (+) VT signs: 1. Capture beat 2. AV dissociation 3. (+)aVR 🔺⏩Idiopathic Left Posterior Fascicular VT (4/4 criteria): 1. Atypical RBBB morphology with QRS <140msec 2. LAFB with Left Axis Deviation 3. r/S in V6 <1 4. (+) aVR

Asanka Migelheva

@AMigelheva

14 days

Young male coming with acute onset palpitations? VT or SVT with aberrant pathway ?

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Dr Razi

@DrRazi4

6 months

Middle age gentleman with sepsis; BP 110/60mmHg; VT or SVT with aberrancy❓🤔 #ECG #CardioTwitter #MedTwitter @PMcardioApp

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Dr Razi

@DrRazi4

6 months

Smith: The 5 entities I look for on all ECGs for patients with syncope who are asymptomatic on arrival with sinus rhythm and no ischemia is: 1. WPW 2. HOCM 3. Brugada 4. Long QT 5. RV cardiomyopathy

Stephen W. Smith

@smithECGBlog

6 months

Palpitations and presyncope in a 40-something

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Dr Razi

@DrRazi4

1 year

15 y.o girl reported to have intermittent shortness of breath. Rhythm? @ECGfan @ECGEPSCADEVICE @ecgrhythms @DrRajeshG1 @SchakrabartiEP @HakimIcu @adribaran @BrooksWalsh @EM_RESUS @Hapa_EP @drharikrishrau @PMcardioBot

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Dr Razi

@DrRazi4

5 months

#ECG What is the rhythm ❓🤔 #NHAM2024

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Dr Razi

@DrRazi4

8 months

OMI sign detected ‼️‼️🚑🚑

Amal Mattu

@amalmattu

8 months

Another paper says you don't need to worry about a computer-interpreted "normal" ECG & here's yet another "normal" ECG showing otherwise. Just read the damn ECGs! 33yoM, D1 blockage, VFib arrest but resus'd (credit-Dr. Mohammad Assiri) #foamed

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Dr Razi

@DrRazi4

5 months

@drkamikhan123 ECG shows: 1. Sinus tachycardia with HR 100bpm 2. Widespread Concave STE in antero-lateral-inferior leads. 3. PR elevation in aVR and PR depression in other leads. 4. Reciprocal STD in aVR. 5. ST/T ratio in V6 >0.25 6. Spodick's Sign 🔺Acute Pericarditis my first diagnosis✅

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Dr Razi

@DrRazi4

2 years

Old guy came in with hypotension. The computer said it's an af..What do u think? @ecgrhythms @smithECGBlog @SchakrabartiEP @Hapa_EP @HakimIcu @EM_RESUS

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Dr Razi

@DrRazi4

27 days

OMI signs detected‼️‼️🚑🚑 1. Hyperacute TW with STE in V1-V3; Broad base; TW in V2 is proportionally larger than V6. 2. Hyperacute TW in V4-V5; Lead 1 and aVL. 3. Reciprocal STD Lead 3 and aVF; LAD OMI; Progresses to full blown STEMI✅

Dr Razi

@DrRazi4

29 days

#ecg belongs to 36 y.o.male with sudden onset of chest pain for 54minutes; PS 9/10; VS stable. What do you think ❓🤔 #Cardiology #CardioEd #CardioTwitter #MedTwitter #Medicalstudent @PMcardioApp

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Dr Razi

@DrRazi4

5 months

#ECG belongs to Middle age gentleman with chest pain and palpitations; BP 80/50mmHg; VT or SVT with aberrancy❓🤔 @PMcardioApp #CardioTwitter #MedTwitter #Medicalstudent

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Dr Razi

@DrRazi4

3 years

33 y.o male active smoker..typical chest pain for 2 hours..vitals stable..lungs clear..call for urgent cath? @smithECGBlog @MaxG693 @BrooksWalsh @EM_RESUS @ecgrhythms ?

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Dr Razi

@DrRazi4

7 months

OMI sign detected 🚑🚑‼️‼️ LAD OMI LBBB✅

heartsECGcourse

@heartsECGcourse

7 months

60 year old with chest pain. What do you think? Do you agree with the final interpretation? #ECG #FOAMed #MedEd #CardioTwitter

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Dr Razi

@DrRazi4

2 years

37 y.o smoker with chest pain for 2 days. Vitals stable. OMI here? @ecgrhythms @EM_RESUS @ECGfan @smithECGBlog

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Dr Razi

@DrRazi4

2 months

OMI signs detected ‼️‼️🚑🚑 Critical LM artery disease with reperfusion;✅ 1. STD equal or > than 8 leads; 2. STE in aVR (STE avR>V1) 3. Especially if STE in aVL. STE equal or more than 1mm in aVR predicts the need for CABG.

Drparray Mohammad

@DrparrayMD

2 months

77 M with chest pain .Initial episode lasted 15 mins, resolved.More severe pain after 1 hr, subsided after morphine+gtn . Pain-free on arrival, .hs-cTnT= 324,/1024. Pain recurred after a while . Serial EKGs attached . What’s going on? Culprit #CardioTwitter #MedTwitter

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Dr Razi

@DrRazi4

4 years

Young guy with recurrent admissions for palpitation.Echo normal.Any thoughts? @HakimIcu @SchakrabartiEP @smithECGBlog @BrooksWalsh @EM_RESUS @MDTolgaAksu @EPChitChat @Hapa_EP @MaxG693 @ECGTalk

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Dr Razi

@DrRazi4

1 year

I usually follow this; MI vs LVH

ECGs

@EcgsOnly

1 year

Chest pain DX ?

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Dr Razi

@DrRazi4

13 days

@DrparrayMD @smithECGBlog @PendellM @ecgandrhythmRoe @amalmattu @EM_RESUS @EcgsOnly @drbasitmasoodi @emergmedottawa @ALiEMteam @EuropSocEM #ecg shows: 1. Irregular WCT ~ therefore it's an af. 2. Morphology of the QRS is bizarre; does not resemble typical aberrancy; LBBB or RBBB. 3. HR >250bpm and up to 300bpm(with the shortest CL 200msec) is too fast for VT. 4. No twisting of the axis for PMVT 🔺Pre-excitation AF

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Dr Razi

@DrRazi4

4 years

28 y.o no medical illness, came with fever and seizure.Bp hypotensive.VT or SVT abberancy? @BrooksWalsh @MDTolgaAksu @smithECGBlog @HakimIcu @SchakrabartiEP @MaxG693 @aportasanchez @Vadeboncoeur_Al @ecgrhythms @EM_RESUS @CarinaHardy4 @ECGfan @Hapa_EP @EPChitChat @dralokshah

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Dr Razi

@DrRazi4

2 years

60+ Gentleman with typical chest pain more than 10 hours, lungs clear,.BP 120/72mmHg. OMI LMS or LAD? @smithECGBlog @EM_RESUS @ECGfan @ekgpress

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Dr Razi

@DrRazi4

1 year

Young gentleman with sepsis, Temp 40 C;ECG done for tachycardia. #ecg @PMcardioBot

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Dr Razi

@DrRazi4

2 years

20 y.o male no medical illness..presented with left sided chest pain. Vitals stable. What are your thoughts? @EM_RESUS @BrooksWalsh @AslangerE @ekgpress @smithECGBlog @ecgrhythms @ECGfan @Jagdish26039718 @The_Nanashi_O @RobertHermanMD @PMcardioBot

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Dr Razi

@DrRazi4

2 years

@RobertHermanMD @PMcardioBot @ecgrhythms @DidlakeDW @The_Nanashi_O @EM_RESUS @smithECGBlog @StephenRahm @DocNikko @PendellM I think the ECG has Cabrera's Sign which supports LAD occlusion. @drharikrishrau

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Dr Razi

@DrRazi4

9 months

Young gentleman 22 y.o; no previous medical problem; came in because of pre-syncopal attack; VS stable. What do you think🤔🤔❓❓ #ECG #ecg #MedTwitter #MedX @PMcardioBot

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Dr Razi

@DrRazi4

29 days

@MubarakAlhatemi OMI signs detected‼️‼️🚑🚑 1. Hyperacute TW in V2-V5; - Broad base; - TW propotionally large compared to QRS - TW in V2-V3 proprotionally large compared to TW in V6 2. Hyperacute TW in Lead 1 and aVL 3. STE in V1 4. Reciprocal STD in Lead 3 and aVF 🔺Hyperacute pLAD OMI✅😁

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Dr Razi

@DrRazi4

8 months

Case of LAD OMI ✍️ @PMcardioBot #ECG

Dr Razi

@DrRazi4

8 months

Unstable patient; 50 y.o male DM HTN; chest pain for 2 days; SOB; BP 160/100mmHg; Lungs- basal crepitations; OMI❓🤔 @smithECGBlog @PMcardioBot #ecg #ECG #CardioTwitter #MedX #MedTwitter

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Dr Razi

@DrRazi4

1 year

32 y.o lady with increasing shortness of breath. BP 100/60mmHg. Your thoughts? @EM_RESUS @BrooksWalsh @Jagdish26039718 @The_Nanashi_O @ecgrhythms @smithECGBlog @DrRajeshG1 @PMcardioBot @drharikrishrau @ECGfan @ECGEPSCADEVICE @ecg_cases

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Dr Razi

@DrRazi4

3 years

69 y.o Male with dementia on EBIXA 10mg OD with recurrent episodes of vomiting and syncopal attack, BP 90/50 with lowest HR 38bpm. What do you think? @BrooksWalsh @smithECGBlog @EM_RESUS @MaxG693 @ecgrhythms @ECGfan

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Dr Razi

@DrRazi4

6 months

Middle age gentleman; unknown medical history; brought in unconscious; Immediate #ECG @PMcardioApp #CardioTwitter #MedX #Medicalstudent

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Dr Razi

@DrRazi4

2 years

39 y.o smoker NKMI came with an epigastric burning sensation. Vitals stable. Your thoughts? @BrooksWalsh @EM_RESUS @smithECGBlog @The_Nanashi_O @Jagdish26039718 @AslangerE @ecgrhythms @ECGfan @PMcardioBot @RobertHermanMD

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Dr Razi

@DrRazi4

2 months

Good case✅

Stephen W. Smith

@smithECGBlog

2 months

What diagnosis might you strongly suspect from the ECG in this patient with chronic progressive shortness of breath?

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Dr Razi

@DrRazi4

3 years

What is the rhythm?24 y.o male with sudden onset palpitation..vitals stable. @ecgrhythms @BrooksWalsh @EM_RESUS @SchakrabartiEP @HakimIcu @Hapa_EP @ECGfan

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Dr Razi

@DrRazi4

1 year

@DrAkhilRaghavan Indication - certain patient esp young pt with IgA Nephropathy with heavy proteinuria despite ACE/ARB alone - individual case to case basis. CI- Usage Diabetic Kidney Disease with proteinuria will lead to higher risk of WRF and hyperK (ONTARGET) Adverse Effect - WRF and ⬆️K+

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Dr Razi

@DrRazi4

2 months

Missing left rabbit ears; Ischaemic RBBB; pLAD occlusion. - Concordance STE with RBBB. Late Presentation MI with Acute HF✅ @PMcardioApp #ECG

Dr Razi

@DrRazi4

2 months

Middle age gentleman; HTN; chest pain and worsening SOB; BP 190/110mmHg; Generalized crepitations both lung fields; What do you think of the #ECG 🤔❓ @PMcardioApp #CardioEd #CardioTwitter #MedTwitter #Medicalstudent

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Dr Razi

@DrRazi4

5 months

Elderly with sudden onset of palpitation and reduced ET; VS stable. What is the rhythm❓ #ECG @drharikrishrau

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Dr Razi

@DrRazi4

9 months

1. Deep STD due to retrograde activation of p wave occurs in AVNRT and AVRT. 2. Pseudo r' wave and Pseudo s wave with very short RP interval (70msec) suggest AVNRT. 3. aVL notch occurs more often in AVNRT rather than AVRT. Final diagnosis is: Typical Slow Fast AVNRT.

Andreas Roeschl, MD

@ecgandrhythmRoe

9 months

24-year-old woman, palpitations for 10-30 minutes since childhood; probable diagnosis?

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Dr Razi

@DrRazi4

3 years

38 y.o lady with sudden onset of chest pain for 1 hour. Vitals stable. Call in for cath? @MaxG693 @EM_RESUS @smithECGBlog @BrooksWalsh @ecgrhythms @ekgpress

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Dr Razi

@DrRazi4

1 year

Middle age gentleman with sepsis, intubated; BP supported. VT or SVT with aberrancy? @BrooksWalsh @ECGfan @EM_RESUS @smithECGBlog @SchakrabartiEP @HakimIcu @Hapa_EP @RobertHermanMD @PMcardioBot @Jagdish26039718 @The_Nanashi_O @adribaran

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Dr Razi

@DrRazi4

11 months

@ecgandrhythmRoe Negative p wave in lead 3 with ste suggest Emery phenomenon. ✍️

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Dr Razi

@DrRazi4

11 months

40 y.o male; smoker with acute onset chest pain; VS stable. Culprit❓ #ecg #ecgchallenge @PMcardioBot

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Dr Razi

@DrRazi4

2 years

Old lady DM HTN with intermittent chest pain for few hours. Vitals stable. Initial Trop I is 1300 ng/L(N<45). OMI?Culprit? @BrooksWalsh @AslangerE @EM_RESUS @smithECGBlog @ECGfan @ecgrhythms @Jagdish26039718 @drharikrishrau @PMcardioBot @RobertHermanMD

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Dr Razi

@DrRazi4

1 month

VT✅ 1. AV dissociation 2. Positive concordance

Andreas Roeschl, MD

@ecgandrhythmRoe

1 month

This ECG was sent by email. VT or SVT with BBB?

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Dr Razi

@DrRazi4

2 years

70+ y.o male, HTN, DM dizziness and chest pain..BP 101/55mHg. ECGs 30 minutes apart. @smithECGBlog @BrooksWalsh @EM_RESUS @ecgrhythms @ECGfan is it OMI?

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Dr Razi

@DrRazi4

11 months

38 y.o male; Athlete: long distance marathon; asymptomatic; what's next? #holter #ecg @PMcardioBot

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Dr Razi

@DrRazi4

5 months

#ECG Features of RV enlargement; 1. Rbbb 2. RV strain pattern 3. S wave in V6 Bifascicular block - RBBB + LAFB Possible diagnosis; 1. Acute PE 2. Chronic Respiratory Disease like OSA/OHS/COPD

Asanka Migelheva

@AMigelheva

5 months

64 Male Hypertension only past 4 days Hx of exertion induced SOB Stable OBS Cat 3 ECG below 👇

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Dr Razi

@DrRazi4

11 months

Case of silent ischaemia; old guy with poor Diabetic control; no chest pain at all; reduce effort tolerance for few days; stable VS; midzone crepitations; Trop T>2000ng/dL. #ecg @PMcardioBot

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Dr Razi

@DrRazi4

9 months

50 y.o gentleman with HTN; sudden onset palpitation; VS stable. What do you think❓❓🤔😳 #ECG #ecg #MedTwitter @PMcardioBot @drharikrishrau

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Dr Razi

@DrRazi4

4 months

#ECG belongs to a middle age gentleman with few hours of chest pain; Risk factors- HTN, DM, smoker; BP 105/55mmHg; Lungs clear. What do you think❓🤔 #Cardiotwitter #Medicaltwitter #MedX #Medicalstudent @PMcardioApp

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Dr Razi

@DrRazi4

8 months

"When there is inferior ST-segment elevation, the presence of any ST depression in lead aVL is highly sensitive for coronary occlusion in inferior myocardial infarction and very specific for differentiating inferior myocardial infarction from pericarditis" Further readings👇

Dr Razi

@DrRazi4

8 months

@EcgsOnly Inferior Posterior Lateral OMI complicated with Mobitz Type 1 AV Block (ectopic atrial rhythm). 🔺RCA occlusion

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Dr Razi

@DrRazi4

1 month

@arrhythmologist @baramink @Doctors__squad @Dr_Swearingen @DrAkhilRaghavan @drbasitmasoodi @EasyMedecine @ecgandrhythmRoe @ECGEPSCADEVICE @ecgotaku #ecg shows features of Hyperkalemia; 1. Tall tented T waves 2. Flattening of P waves.

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Dr Razi

@DrRazi4

1 year

Acute onset chest pain in 60 y.o lady. BP 110/60mmHg.Looks classic. Is the RV involved? @smithECGBlog @BrooksWalsh @EM_RESUS @RobertHermanMD @ecgrhythms @ECGfan @PMcardioBot @The_Nanashi_O @Jagdish26039718 @drharikrishrau #deadman

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Dr Razi

@DrRazi4

4 years

19 y.o girl with epigastric pain and retrosternal chest pain.BP stable.Pre-excitation? @SchakrabartiEP @smithECGBlog @HakimIcu @EPChitChat @EM_RESUS @MaxG693 @MDTolgaAksu @Vadeboncoeur_Al @BrooksWalsh @Hapa_EP @ECGfan @CarinaHardy4

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Dr Razi

@DrRazi4

3 months

#ecg shows bradyarrhythmia with: 1. Atrial activity > Ventricular activity (P>QRS) 2. 2:1 Block to 3:1 3. Wide QRS with RBBB pattern in V1 🔺Infranodal 2:1 to High Grade AV Block. Urgent pacing needed.

Lorin Braschler

@cardiodevotee

3 months

91yo female Dizziness Dx? @ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_Resus @PMcardioBot #ECG #CardioTwitter #MedTwitter #MedX

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Dr Razi

@DrRazi4

1 month

Easy one for @PMcardioApp Is it @drharikrishrau @Eugene4463

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Dr Razi

@DrRazi4

3 years

68 y.o lady with HF,EF 36% and sepsis. Noted tachycardia with hypotension. K 3.2. No chest pain. VT or SVT with abberancy? @EM_RESUS @MaxG693 @BrooksWalsh @HakimIcu @smithECGBlog @spafraz @SchakrabartiEP @Hapa_EP @ecgrhythms @ECGfan

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Dr Razi

@DrRazi4

8 months

OMI signs detected‼️‼️🚑⚡⚡ Proximal LAD occlusion; Extensive Anterior OMI✅

Thaier Albreizat

@ThaierT13525

8 months

Chest pain!

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Dr Razi

@DrRazi4

4 years

30+ y.o gentleman, smoker presented with 2hours of chest pain.BP 100/50mmHg. Lungs clear. Should we thrombolyse? @BrooksWalsh @smithECGBlog @EM_RESUS

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Dr Razi

@DrRazi4

3 months

#ecg a case of Bilateral Acute Massive PE. 1. Sinus Tachycardia with incomplete Rbbb 2. TWi in V1 and Lead 3 - Kasuge 3. McGinn-White Sign - S1Q3T3 suggests Acute RV strain 4. S wave in V6 - rotating vectors to right side (RV dilatation).

Dr Razi

@DrRazi4

3 months

#ecg case consultation; 64 y.o gentleman with recent history lower limb fracture; presented with acute SOB and chest pain for few days; BP 90/45mmHg. #CardioTwitter #CardioEd #CardioTwitter #MedTwitter #Medicalstudent

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Dr Razi

@DrRazi4

8 days

#ecg shows sinus tachycardia with; 1. Widespread STD V2-V6; Lead 1, aVL and Lead 2 2. STE in aVR 3. Increased in P wave amplitude 4. Prolonged QT with u wave 🔺Changes likely related to HypoKalemia @PMcardioApp #CardioTwitter #MedTwitter #Medicalstudent

Dr Razi

@DrRazi4

8 days

Lady in 30+ y.o underlying Asthma; SOB, chest pain & palpitation; have been using more than 10 puffs MDI ventolin at home; What do you think of the #ECG 🤔❓Somebody concern on ACS😳 @PMcardioApp #CardioEd #CardioTwitter #MedTwitter #Medicalstudent

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Dr Razi

@DrRazi4

1 year

36 y.o gentleman with atypical chest pain. Vitals stable. OMI or normal variant ECG? @ECGfan @BrooksWalsh @ecgrhythms @EM_RESUS @Jagdish26039718 @smithECGBlog @RobertHermanMD @PMcardioBot @The_Nanashi_O

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Dr Razi

@DrRazi4

6 months

Great #ECG case; WCT with VT sign - Positive aVR; Tall Left rabbit ear in V2: Fullfilled 4/4 criteria of Fascicular VT; 1. Atypical RBBB in V1 2. QRS <140msec 3. R/s ratio in V6 <1. 4. Positive aVR. 🔺I would consider Idiopathic LPFVT as first diagnosis IV Verapamil✅

BLUE

@RedBerr81559719

6 months

30 yrs healthy male with a 8-year h/o intermittent palpitations presented with palpitations and lightheadedness. VS stable. EP said either VT or SVT with aberrancy.

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Dr Razi

@DrRazi4

2 years

Fragile very old lady with non specific symptoms of body weakness..prox LAD..?LMS? @BrooksWalsh @smithECGBlog @ECGfan @ecgrhythms @EM_RESUS

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Dr Razi

@DrRazi4

11 months

41 y.o gentleman; smoker; no HTN; history of typical chest pain; referred case for Wallen's Syndrome. What would be the angio findings? #ecg #ecgchallenge @PMcardioBot

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Dr Razi

@DrRazi4

10 months

Consultation from a Surgeon; 55 y.o.male admitted for Diabetic Foot Ulcer; ECG on admission; VS stable. He thinks not Sinus. What do you think❓❓🤔🤔 #ecg #ecgchallenge @PMcardioBot

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Dr Razi

@DrRazi4

2 years

36 y.o male smoker with chest pain; pain score 2/10. Vitals stable. Your thoughts?OMI? @BrooksWalsh @The_Nanashi_O @EM_RESUS @smithECGBlog @ecgrhythms @Jagdish26039718 @RobertHermanMD @PMcardioBot

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Dr Razi

@DrRazi4

4 months

@ghwamasoob OMI signs detected‼️‼️🚑🚑 1. Inferior- Hyperacute TW Lead 3; aVF with reciprocal STD in Lead 1 and aVL. 2. Posterior - Max STD V2-V4. 3. RV involvement - STE avR; V1 with STD V2. 4. Isorhythmic AV dissociation- CHB. 🔺pRCA occlusion complicated with CHB.

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Dr Razi

@DrRazi4

8 months

@drsamshuaibi Ecg shows; 1. Widespread concave STE involving precordial and limbs leads. 2. ST segment/T wave ratio>0.25 in V6. 3. PR depression in all leads with PR elevation in aVR. 4. Downslopping TP segment - Spodicks' sign. 🔺Ecg features of Acute Pericarditis🫡

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Dr Razi

@DrRazi4

5 months

#ECG with NCT ; 1. Deep STD in lateral leads >2mm and STE in aVR suggests AVRT 2. Short RP tachycardia with RP interval >100msec with Retrograde p wave (pseudo r wave) in V1 and pseudo s wave in Inferior Leads support AVRT. 🔺Short RP tachycardia of Orthodromic AVRT✅

Borun Gangoli

@GangoliBorun

5 months

40 year old female complaints palpitation

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Dr Razi

@DrRazi4

1 year

40 y.o male; Smoker;few hours of chest pain; PS 2-6/10; OMI? @smithECGBlog @EM_RESUS @BrooksWalsh @PendellM @The_Nanashi_O @ecgandrhythmRoe @Jagdish26039718 @ECGEPSCADEVICE @ecgrhythms @PMcardioBot @RobertHermanMD

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Dr Razi

@DrRazi4

8 months

Dual nodal pathway- AVNRT;👇 1. Beat (1) with normal PRi due to antegrade conduction down the fast AV nodal pathway. 2. Beat (2) = PRi ⬆️⬆️ due to antegrade conduction down the SLOW AV nodal pathway with AV nodal echo conducted retrogradely via the fast AV nodal pathway. #ECG

Dr Razi

@DrRazi4

8 months

Elderly gentleman (HTN, DM, CKD 4, Bronchial Asthma); Came with episodes of palpitation for 12 hours; VS stable; Bloods IX normal; ECG during IV Adenosine 6mg; What important changes do you notice here which can lead to the diagnosis❓🤔 @PMcardioBot #ECG #Cardiology #MedX

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Dr Razi

@DrRazi4

5 months

My first diagnosis is 🔺Acute PE✅ #ECG shows: 1. Sinus Tachycardia with HR ~120bpm 2. Kasuge - TWI in V1 and Lead 3 3. Tall R wave with STD and TWI in V1-V4 ~ RV strain pattern 4. S wave in V6- rotating vector to the right side; RV enlargement. 5. McGinn-White sign- S1Q3T3

heartsECGcourse

@heartsECGcourse

5 months

20 year old, history of lupus, with chronic shortness of breath. What do you think? #ECG #EKG #ECGinterpretation #MedstudentTwitter #resident #paramedic #nurse #EmergencyMedicine #cardiology

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Dr Razi

@DrRazi4

3 years

Reverted Spontaneously to SR. ECG belongs to 50+ guy with IHD came with palpitations and chest discomfort. Vitals stable. VT or SVT with aberrancy? @BrooksWalsh @smithECGBlog @EM_RESUS @SchakrabartiEP @ecgrhythms @HakimIcu @Hapa_EP @ECGfan

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Dr Razi

@DrRazi4

26 days

#ecg shows NCT HR ~170bpm; 1. STD <2mm ~ retrograde p wave of AVNRT. 2. Pseudo s wave in Inferior Leads. 3. RP < PR with RP interval <70msec. Adenosine strip rhythm shows; 1. The termination of tachycardia with P wave 2. PR jump - Dual AV nodal physiology. 🔺AVNRT #ecg in SR

Dr Razi

@DrRazi4

28 days

Only one #ecg ; lady in 30's+; Sudden onset palpitation after fighting her husband; BP 90/60mmHg; Lungs clear. Rhythm❓🤔 @PMcardioApp #CardioEd #Cardiology #CardioTwitter #MedTwitter #Medicalstudent

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Dr Razi

@DrRazi4

10 months

Short text from Pulmonologist for consultation while I'm driving; " Please help with ecg, 30 y.o male with shortness and chest pain". What do you think❓❓🤔 #ECG #ecg #ecgchallenge @PMcardioBot @drharikrishrau

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Dr Razi

@DrRazi4

4 months

#ECG shows: 1. NCT tachycardia with 130bpm; 2. Slight widening QRS of incomplete LBBB (⬆️RP interval) 3. STD <2mm in lateral leads suggests retrograde atrial activation of AVNRT 3. Retrograde P wave seen in V1 with RP >100msec. 🔺Short RP tachycardia of Typical Slow Fast AVNRT.

Lorin Braschler

@cardiodevotee

4 months

92yo male Palpitations Dx? @ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @PMcardioBot #ECG #CardioTwitter #MedTwitter #MedX

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Dr Razi

@DrRazi4

1 month

#ecg shows: 1. WCT with HR ~150bpm 2. RBBB, QRS duration <140msec. 3. Positive VT signs - Positive aVR, AV dissociation. 4. r/S <1 in V6 5. Left Anterior Fascicular Block (LAFB). 🔺Idiopathic Left Posterior Fascicular VT (Belhassen’s VT)

Carlos M. Peñate, MD

@Carlos_Penate6

1 month

Rhythm @ecgandrhythmRoe @EcgsOnly @ecgrhythms @DrRazi4 @ECGEPSCADEVICE

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Dr Razi

@DrRazi4

9 months

Very useful

The Heart

@ZHeart11768530

9 months

The VT score: for ECG Dx of VT 🫀 A novel method for wide QRS complex tachycardia Dx 🫀 AV dissociation (incl.fusion/capture beats & partial dissociation) 2 pts. 🫀 ≥ 3 VT score: VT. 🫀≥ 1 pt used for dx w/n highest overall accuracy rather than error-free dx is desired.

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Dr Razi

@DrRazi4

5 months

30 year old gentleman; smoker; acute onset chest pain; VS stable. What do you think❓🤔OMI❓ @PMcardioApp #CardioTwitter #MedX #MedicalStudent

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Dr Razi

@DrRazi4

2 years

45 y.o male Smoker, chest pain 3 hours. BP 160/110mHg. Inferior OMI? @BrooksWalsh @ecgrhythms @ECGfan @smithECGBlog @EM_RESUS @drharikrishrau

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Dr Razi

@DrRazi4

4 months

Elderly gentleman DM,HTN, CKD 5; Sudden onset palpitation; BP 140/90mmHg. VT or SVT with aberrancy🤔❓ #ECG #Cardiotwitter #MedX #Medicalstudent @PMcardioApp

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Dr Razi

@DrRazi4

19 days

OMI signs detected‼️‼️🚑🚑 #ecg shows: 1. Precordial Swirl signs 2. STE V1-V2 with flat STD with terminal (+) in V5-V6 3. Hyperacute TW in V1-V3. 🔺Acute pLAD OMI.

Neshwan Albarwari

@baramink

20 days

50 years old with chest pain #ECG ambiguous = cath #STEMI #PCI #primary_PCI #CardioEd

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Dr Razi

@DrRazi4

11 months

60 y.o male DM, HTN; had episodes of excessive sweating at night for the past 2 days; He denies any chest pain; on arrival he is symptom-free; Trop 100K; 🔼Late Presentation MI. On the second ECG, 4 hours later; his symptom recurred. What do you think🤔❓❓ #ecg @PMcardioBot

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Dr Razi

@DrRazi4

3 months

@ghwamasoob #ecg shows: 1. Evidence of old/established infarct with inferior Wall aneursymal changes- persistent STE with Q wave and deep TWi 2. Tall tented TW probably related to hyperK as flattened P wave in precordial leads. 🔺Old Inferior MI with HyperK. probably HF with CRS✅

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Dr Razi

@DrRazi4

11 months

40 y.o male with acute onset chest pain; smoker: VS stable; OMI? @EM_RESUS @smithECGBlog @BrooksWalsh @The_Nanashi_O @ecgandrhythmRoe @ECGEPSCADEVICE @ecgrhythms @Jagdish26039718 #ecg @PMcardioBot

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Dr Razi

@DrRazi4

12 days

#ecg shows NCT with HR ~150bpm: 1. The atrial rate is twice of the Ventricular rate ⏩2:1 2. (-) P wave in inferior leads and (+)P wave in V1. 3. Atrial rate around 315bpm with CL of ~200msec ⏩Flutter rate. 4. Oscillation of P wave above the baseline⏩AFL 🔺Typical CC AFL✅

OnlyECG

@OnlyEcg1

13 days

Rhythm Dx? #CardioTwitter #MedicalEmergency #Epeeps #EPeeps_bot #MedTwitter #Cardiology #CardioEd #EKG #ECG #Paramedics #medicalstudent #MedicalEducation #Cardiovascular #cardiologist #EPS

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Dr Razi

@DrRazi4

6 months

30 y.o male; smoker; history of fever for 1 day; now having left sided chest pain; VS stable. What do you think🤔❓OMI❓ #ECG #CardioTwitter #MedTwitter @PMcardioApp #Ecg interval 20 minutes.

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Dr Razi

@DrRazi4

5 months

Vote for #ECG with VT; 1. AV dissociation 2. qRBBB morphology similar as PVC in ECG 2. 3. Axis Change 4. Vi/Vt<1 in AVR 5. Memory T waves (QRS downward in V2-V3 during tachycardia).

Paramesh Mohan

@paramesh_mohan

5 months

65y gentleman ?Prior hx concerning MI Chest pain and dyspnea rhythm reverted to SR with DCCV VT vs something else? @EcgOxford @ecgrhythms @DidlakeDW @The_Nanashi_O @brun_dav @narrowQRS @Jagdish26039718 @FloydECGs @JaySavla15 @MaruanCarlos

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Dr Razi

@DrRazi4

1 year

Here comes 50 y.o male with sudden onset chest pain. @BrooksWalsh @EM_RESUS @ECGfan @smithECGBlog @The_Nanashi_O @Jagdish26039718 @PMcardioBot @RobertHermanMD @ecgrhythms #deadman

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Dr Razi

@DrRazi4

23 days

Recognize VT at Glance☠️

Ritika Tuli

@ritikagad

23 days

🫀 In VT, slower cell-to-cell conduction (vs. rapid Purkinje fiber conduction) causes a prolonged RS interval. The inefficient spread of electrical impulses through ventricular myocytes lengthens depolarization time, leading to a long RS acceleration. #CardioTwitter #EPeeps

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Dr Razi

@DrRazi4

2 years

Young 20 y.o with morbid obesity came with palpitation..vitals stable. AT vs flutter? @ecgrhythms @ECGfan @SchakrabartiEP @Hapa_EP @HakimIcu @RobertHermanMD @BrooksWalsh @EM_RESUS

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Dr Razi

@DrRazi4

2 years

Elderly male with syncopal attack; no chest pain. BP on arrival 90/47mmHg. K 5.6, OMI? @BrooksWalsh @EM_RESUS @smithECGBlog @The_Nanashi_O @Jagdish26039718 @RobertHermanMD @ecgrhythms @ECGfan @PMcardioBot

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Dr Razi

@DrRazi4

5 months

My theory: WCT suggestive of VT: 1. Sinus capture (redbox) has different QRS axis and morphology. 2. Positive aVR 3. RBBB with transition in V4 - LV septum 4. Leftward Axis; dominant R wave in Lead 1- Septal 4. Superior Axis - Inferior Wall 🔺Ischaemia VT from LV Inferoseptal.