12 results
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... An ECG may show ... larger shunt #ECG ... #EKG #Cardiology ... #Crochetage #Sign
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... Cardiomyopathy #HOCM #HCM #clinical ... echocardiogram #plax ... #cardiology #pocus
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Echocardiogram STEMI on EKG ... Echocardiogram #cardiology ... #clinical #plax
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
x 1 hour, Ant/Sept ... STEMI on EKG. ... echo Focal Ant/Sept ... Echocardiogram #PSAX ... #Clinical #Cardiology
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
Obstruction by Aortic ... elevations in different ECG ... dissection #a4c #plax ... Echocardiogram #clinical ... #cardiology #pocus
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... EKG: nsr, TWI v1 ... #Anterior #Septal ... Echocardiogram #Clinical ... #Cardiology #PLAX
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Echocardiogram (PLAX ... including negative ECG ... , CXR & trop. ... Echocardiogram #clinical ... #cardiology #PLAX
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Libman Sacks) • Atrial ... ↑ ESR, CRP • EKG ... block, annular or aortic ... 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: ... Change in clinical ... - Cataract Plan ... one post op Cardiology