12 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • At least 3 different ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS ... A4c #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... #Embolism #ECG
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
or air-filled lesions ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
atrial tachycardia ECG ... of at least 3 different ... #tachycardia #cardiology ... #diagnosis #ekg ... electrocardiogram #clinical #comparison
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... • Janeway lesions ... ↑ ESR, CRP • EKG ... or destructive lesion ... #management #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
criteria for the diagnosis ... of at least 3 different ... dominant pacemaker focus ... #cardiology #ekg ... #comparison
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
sets at three different ... TTE +/- TEE) • Chest ... endocarditis w/ septic pulmonary ... with multiple embolic ... #criticalcare #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Cerebral > Splenic, Pulmonary ... • Janeway lesions ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
2 patients w/ different ... diagnoses. ... strain related to pulmonary ... embolism, but could ... Echocardiogram #clinical #cardiology