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Cardiac Physiology in Practice
@CardiacPhys_
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- 17 Posts
Online education platform for Cardiology. On-demand lecture content & interactive webinars for ECG, EP & Echo. ECG course out now with the EP course for fellows coming soon!
New Post on the Beat Box! This one is for you #epeeps
Check out our latest post on "The Beat Box" at https://cardiacphysinpractice.com/a-heartfelt-plea-putting-ablation-impedance-back-at-the-front-of-the-bus/
P wave origin:
-->V1 positive = left sided or Crista Terminalis/Sinus Node
-->II/III/aVF positive = superior structure
-->V3-V4 Positive = posterior structure
-->II P wave amplitude > III = Rightward structure.
-->High Crista or RSPV assuming it is not Sinus!
It would be useful to compare this to a normal heart rate sinus rhythm ECG from this patient with this lead placement to identify if there are any discernible P morphology differences.
Right Superior Pulmonary Vein Focal AT confirmed with EP Study!
It does not look too different than a sinus beat as sinus P waves can sometimes be positive in V1 rather than the traditionally described "pos/neg".
P wave Localisation made EASY! (Based of Kistler et al. 2006/2021)
You can download the pdf FREE on: https://cardiacphysinpractice.com/#
Based on dominant P wave polarity! Try it out with the ECG, answer in comments. Enjoy! #epeeps #cardiology #cardiotwitter #cardioed #ecg #ekg #svt #eps
43-year-old female with frequent palpitations, multiple times per week, particularly after exercise. What are our thoughts on rhythm and origin?
#epeeps #ECG #Ekg #cardioed #Cardiology #electrophysiology #CardioTwitter
#epeeps #ECG #Ekg #cardioed #Cardiology #electrophysiology #CardioTwitter
Pick your poison. Anterior line? Posterior line? Or something else?
Jeffrey M Vinocur