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Monday, April 15, 2019

Syncope: show me the ECG

Boston City EM
Boston City EM - April 5, 2019
"After each pass, I say to myself:
  • “Short PR, Long QT, High degree and Bundle blocks.
  • Brugada, ARVD.
  • LVH and Cardiomyopathy.
  • Right heart strain and MI.”
Other schemes you may know:
  • WOBBLER – WPW, obstructed AV pathway, Bifascicular Block, Brugada, LVH (HCM and AS), Epsilon wave, Repolarization abnormality. Which has the benefit of being read from left to right on ECG. (pr, qrs, q-t)
  • Can Quick BRAD Walk Home?: Conduction blocks, Long/ short QT, Brugada, RV infarction, ARVD, DCM, WPW, Hypertrophy (HCM or LVH due to AS)
  • 2 more mnemonics, ABCDE-I and “I get my Dairy Queen At HEB” which you can look up. But, these mostly cover the same stuff."