15 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... Flow from IVC hampering ... #cardiology #clinical ... echocardiogram #s4c #pocus #bubble
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
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 ... Hussain Ch @Hussainch
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 ... as they result from ... Serial EKGS in pts ... #Diagnosis #Cardiology
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
Atrioventricular (AV) Blocks

First Degree AV Block - "If your R is far from your P than
your R is far from ... independently of the atria ... (AV node, His Bundle ... heart #heartblock #cardiology ... #ecg #ekg #diagnosis
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Cytokine Release from ... Prednisone 5mg/kg ... common • Imaging: CXR ... symptoms, or> 1 ... sepsis), PE, DAH, CHF
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
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 ... appears to be coming from ... Echocardiogram #clinical
Preoperative Risk Evaluation

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