16 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... leads Cardiac MRI ... #Ultrasound #Clinical ... Echocardiogram #Cardiology
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
better imaging—from Point ... Of Care UltraSound ... (POCUS) to CT or ... MRI. ... #Diagnosis #Radiology
The JT Interval and Pro-Arrhythmic Risk
Measured from the J-point to the end of the T-wave, the
Measured from the J-point ... with QRS ≥120 ms ... electrocardiogram #pathophysiology ... #ekg #ecg #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... treatment for acute MI ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... TIMI III flow in all ... Initiative #Management #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... infarct STEMI - J point ... wave inversion in avL ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... segment at (or 40-60 ms ... of the leads l, aVL ... #Equivalents #ECG ... #differential #cardiology
Shoulder Infraspinatus Hematoma on POCUS

A woman fell down a flight of stairs and can’t move her
Infraspinatus Hematoma on POCUS ... The glenohumeral joint ... #clinical #ultrasound ... #msk #orthopedics ... #radiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... RV dysfunction. e.g ... forward flow. e.g ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Minority of Pts: cardiogenic ... /ARNI/MRA • Avoid ... ., ACE/ARB) need ... diagnosis #management #cardiology