ECG in Pulmonary Embolism | S1Q3T3 | Simplified
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Aazer Nawab on Instagram: "The S1Q3T3 pattern on ECG is a classic but not always present finding in acute pulmonary embolism (PE). what it means and why it occurs: What is S1Q3T3? It refers to specific changes in the 12-lead ECG: •S1: A deep S wave in lead I •Q3: A Q wave in lead III •T3: An inverted T wave in lead III Why does S1Q3T3 occur in PE? Because of acute right heart strain due to obstruction of the pulmonary artery. Here’s how: 1. Pulmonary embolism → Acute increase in pulmonary vascul
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Dr.Amna Hammud on Instagram: "Correct Answer: A. S1Q3T3 pattern Quick Explanation: S1Q3T3 = prominent S wave in lead I, Q wave in lead III, and inverted T wave in lead III. It reflects acute right heart strain due to pulmonary embolism. ⚠️ Sensitivity is low (most patients won’t have it), but when present, it’s a classic and relatively specific clue. More common ECG changes include sinus tachycardia and right axis deviation, but S1Q3T3 is the one examiners love."
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Instagrammedbyamna
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Replying to @n.g1007 S1Q3T3 is an ECG pattern that a lot of people assign inappropriate value to. In the majority of patients that present with this pattern, regardless of what their underlying condition is you will most likely already have a high suspicion for it with or without this ECG pattern. Regardless, it's a poor indicator of PE. #fyp #Paramedictok #paramedicsoftiktok #medicsoftiktok #medictok #emtsoftiktok #emstok #Paramedic #paramedics #firstresponders #firstrespondertok #firstresponde
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