ECGs that differentiate syncope from “seizure”
Episode 77
February 18, 2013
ECGs that differentiate syncope from “seizure”
Episode 77
February 18, 2013

What do you do with a 12 year old having a second seizure? Or if your nanny has her first seizure? Practical answers in just 13 minutes.

Always get a screening ECG in patients with new onset “seizures”!

  • Remember that juvenile T-wave abnormalities (TWI in V1-V3 through age 8) are normal and can persist in young females (persistent juvenile T-wave pattern).
  • Evaluate ECG for dysrhythmias and syncope (especially prolonged QT)
Metabolic cardiac arrest
Metabolic cardiac arrest
Episode 70
December 31, 2012

Hyperkalemia is the fastest cause of death in DKA

  • Look for peaked narrow based T waves
    • Prolongation and flattening of the PR-interval
    • QRS widening
    • Progression to sine wave morphology
    • Cardiac arrest

Beware of hyperkalemia in sick patients with potential metabolic problems and make sure to get an ECG early!


More on wide complex tachycardias and metabolic derangements…