11 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... are enough to diagnose ... that’s called “clinical ... #Cannon #Awaves
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... ventricle known as the bundle ... QRS interval on EKG ... is ablation. 1 ... #Clinical #Diagnosis
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
not gradual in contrast ... because one of the bundle ... #tachycardia #cardiology ... #diagnosis #ekg ... electrocardiogram #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... High rate in <1 ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... 1. ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c #pocus #bubble
Atrioventricular (AV) Blocks

First Degree AV Block - "If your R is far from your P than
below AV node (His bundle ... independently of the atria ... (AV node, His Bundle ... heart #heartblock #cardiology ... #ecg #ekg #diagnosis
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypokalemia • Bundle ... Intermediate burden: >1 ... 300 = NSVT EKG ... capture of the atria ... arrhythmia • Atrial
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... • Absence of P waves ... Cardioversion 1. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... as RAP>LAP as atrial ... stretched PFO or ASD ... Echocardiogram #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... stratification #diagnosis