9 results
Pacemaker Operating Modes
1 - Chamber paced
     A (atrium), V (ventricle), D (dual/both)
2
D (dual/both) 2 ... 4th position is left ... depolarization before pacing ... #Pacing #settings ... #cardiology #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
pacemaker to Demand mode ... Start pacing. ... Consider DDx - Don't Let ... #differential #management ... #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
intolerance, chest pain ... (if patient is taking ... cardioversion 2. ... AFib #diagnosis #management ... #cardiology
Pacemaker Operating Modes
1 - Chamber paced
     A (atrium), V (ventricle), D (dual/both)
2
paced A (atrium ... D (dual/both) 2 ... 4th position is left ... #Pacing #settings ... #cardiology #management
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... Differential #Diagnosis #cardiology ... echocardiogram #s4c #pocus
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 ... Immunologic: • Osler nodes ... Paradoxical emboli via ASD ... Endocarditis #diagnosis #management ... #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
, there is a < 2 ... stratification is left ... at the time of arrival ... #Management #PatientInfo ... #Cardiology #ChestPain