ECGs by diagnosis

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ACS

Aneurysm

  1. Suggested by:
    1. ST elevation >4wk
    2. QS wave in setting of ST-segment elevation w/o T-wave inversion

Pericarditis

Electrolyte Disorders

CNS

  1. SAH, IC Bleed, CVA
    1. Diffuse wide, deep, blunted, inverted T waves
    2. QT Prolongation

Pacemakers

  1. Should be in the apex of R ventricle
  2. ECG should mimic LBBB w/ LAD

Pulmonary Embolism

  1. Sinus tachycardia
  2. S1Q3T3 (Sp, not Sn)
  3. Right axis deviation
  4. RBBB
  5. T wave inversions leads V1-V3

Hypothermia

Osborn wave.gif
  1. Osborn wave (J wave) - Positive deflection at the J point
    1. Height of the J wave correlates to the degree of hypothermia[1]
  2. Bradyarrhythmias, AV blocks
  3. Prolonged PR, QRS, QT intervals
  4. Shivering artifact

See Also

  1. Vassallo SU, Delaney KA, Hoffman RS, et al. A prospective evaluation of the electrocardiographic manifestations of hypothermia. Acad Emerg Med. 1999; 6(11):1121-1126.