18 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... 1. ... failure, and death. 2. ... Subepicardial atrial ... #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Atrial flutter ... 1 , 3:2, 4:3, etc ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
(Type 1) or anatomic ... shunt (Type 2) ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary
Atrioventricular (AV) Blocks

First Degree AV Block - "If your R is far from your P than
1 AV conduction ... - Mobitz Type 2 ... independently of the atria ... #ekg #diagnosis ... #electrocardiogram
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... relationship (2: ... 1 or 3:1 block) ... P and QRS • Atrial ... #electrocardiogram
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
thromboembolism) 1) ... ventricular size, Right atrial ... ventricular septum 2) ... mPAP > 25mmHg, PVR ... Hypertension #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Treatment Goals: 1) ... MAP > 60-65 2) ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... wide-complex tachycardia: bundle ... Cardioversion 1. ... cardioversion 2. ... AFib #diagnosis #management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... depression in aVR ... QRS complex Pulmonary ... elevation seen > 2 ... #ekg #electrocardiogram