Brendan Docherty (he/him)

Deputy Secretary - Hospitals & Primary Care, Tasmanian Health Service/DOH. All views are my own 👍

[Brendan Docherty (he/him) @brendoch]

@MubarakAlhatemi @The_Nanashi_O @EM_RESUS @DrRazi4 @smithECGBlog @ecgrhythms Rhythm strip looks like Torsade, but if the patient is not compromised likely to be tremor or interference

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe Looks like bog standard VT monomorphic

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe VT 🫀

[Brendan Docherty (he/him) @brendoch]

@EcgsOnly Rhythm is AF
STEMI - Inferolateral

[Brendan Docherty (he/him) @brendoch]

@Peter_Fitz 😳😄

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe R on T followed by polymorphic VT - looks like torsade, so check electrolytes including Mg2+

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe 2:1 flutter

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe Long QT
R on T vent ectopic
Looks like Torsade 👀 (or definitely polymorphic VT for sure)

[Brendan Docherty (he/him) @brendoch]

@EcgsOnly 2nd degree AV block Type II (2:1)

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe @Jigarbuddhdev4 @Ecgloverr @Jagdish26039718 @PacingSpike @mohammadala33 @JustusLimo @hscott61 @TSM_Humanist @MusaMayayise @Zamandaulatkhel @Basalus Convex ST elevation - widespread.
No reciprocal changes =
Pericarditis highly likely or coronary artery spasm

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe Looks almost normal
QT is prolonged - possibly due to anti-arrhythmic
Very slight concave ST segments, so possible spasm

[Brendan Docherty (he/him) @brendoch]

@BrianwDolan Haha 😂

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe Flutter 👍

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe Left axis
Partial right BBB
High AV block

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe Brugada syndrome

[Brendan Docherty (he/him) @brendoch]

@drpedro664 @jalosmar @SergioPinski @ecgrhythms Pericarditis

[Brendan Docherty (he/him) @brendoch]

@ThaierT13525 ST elevation laterally
ST reciprocal depression inferiorly and anteriorly
= Cath lab and reperfusion

NB. V1/V2 are odd - are they reversed?

[Brendan Docherty (he/him) @brendoch]

@ecgandrhythmRoe Right ventricular infarct 🫀seen in RV4 and inferior leads

R wave progression poor with tall Rs in V2/V3 indicative of posterior involvement (although that’s not clear on v7-9)

[Brendan Docherty (he/him) @brendoch]

@EcgsOnly Inferior and septal STs are worrying - yes, would activate lab 👍

[Brendan Docherty (he/him) @brendoch]

@walinjom Cardioversion if compromised ⚡️