15 results
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
VI suggests a left ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... waves 2. ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Atrial flutter ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
leads especially left ... leads indicates atrial ... injury. stage 2 ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
indicative of left ... artery (LMCA). left ... failure, and death. 2. ... #ekg #differential ... #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... Artery #Embolism #diagnosis ... #differential # ... scoring #criteria #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
or PFO with left ... to right shunt 2. ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... aortic root, and left ... atrium should roughly ... #EM #Radiology ... #POCUS #CardiacUS
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology ... #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #management #cardiology