19 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... #diagnosis #differential ... scoring #criteria #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... also a result of atrial ... #diagnosis #cardiology ... #electrocardiogram
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 ... is ablation. 1 ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c #pocus ... #bubble
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... 200ms from longer pause ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Cardioembolic: • ECG ... suspicion) • +/- bubble ... - Defined if 1) ... No major-risk embolic ... stroke #workup #diagnosis
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... not gradual in contrast ... because one of the bundle ... #diagnosis #ekg ... #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
WPW is caused by ... pathway between the atria ... (known as the bundle ... ventricles to contract ... Pathophysiology #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cause Injury By ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... Treat underlying cause