36 results
Hypertrophic Cardiomyopathy ECG and Clinical Features #HOCM #Hypertrophic #Cardiomyopathy #Diagnosis #Management #Cardiology
Cardiomyopathy ECG ... and Clinical Features ... #HOCM #Hypertrophic ... Cardiomyopathy #Diagnosis ... #Management #Cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... elevated LVEDP ==> MRI ... #HCM #clinical ... echocardiogram #plax #cardiology ... #pocus
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... waves • Pseudo-STEMI ... #Hyperkalemia #EKG ... #cardiology #diagnosis ... #clinical
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Rhythm (AIVR) on EKG ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... upsloping ST dep and ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... #Pericarditis #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... #Management #Cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... as well as diaphragmatic ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
MI in LBBB or Pacemaker ... Criteria - Suspect STEMI ... #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb