14 results
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... VI suggests a left ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Counterclockwise and (Left ... from the left atrium ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
is a modified ECG ... atrial flutter ... standard 12 lead ECG ... Lead I on the ECG ... #Cardiology #EKG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic ... Control rate (e.g ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
obstruct right and left ... elevations in different ECG ... Flap #dissection #a4c ... Echocardiogram #clinical #cardiology ... #pocus
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 ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... Differential #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
Endocarditis Summary

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

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management