12 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Atrial flutter ... (3) SVTs - atrial ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
MR was only mild ... patient is in sinus ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
indicative of left ... failure, and death. 2. ... findings: Sinus ... #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 ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis ... #differential #
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. ... #Diagnosis #cardiology ... echocardiogram #s4c
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Pads in AP position ... Consider DDx - Don't Let ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Diagnosis Framework ... Have the patient tap ... #Palpitations #Cardiology ... #Differential #
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
focus from the sinus ... Wandering #Pacemaker #wap ... #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #comparison
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
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... >LAP as atrial septum ... shifts left ... stretched PFO or ASD ... clinical #pocus #a4c