8 results
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
Here’s a deadly ECG ... this you must act ... Tombstones #SharkFins #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... Diagnosis #Management #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... NSAlDs, ACE-inhibitors ... channel blocker (eg ... #HeartFailure #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... • Avoid ARB/ACE-I ... hemodynamics (e.g ... LVEF recovery (e.g ... ., ACE/ARB) need
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... indicated • EKG ... Obtain EKG if: ... indication of AC ... • <12mo since ACS
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Pathophysiology ... Guillain-Barre Clinical ... urinary retention, tachycardia ... Electrodiagnostic studies - EMG ... axonal form • MRI
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
bone marrow or stem ... Etiology: • Pathophysiology ... Vascular narrowing on MRA ... circulation: MCA ACA ... • EEG: With persistent