13 results
Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... on EKG - Dr. ... and Anterior Leads ... Embolism #AcutePE ... #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... #EKG #Pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... What's the culprit artery ... Embolus through ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... inversions V1-V4 plus inferior ... #Embolism #ECG ... #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... have no pain - LAD ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... at (or 40-60 ms after ... deviation) • Acute ... #EKG #diagnosis ... #differential #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... main coronary artery ... (LMCA). left anterior ... #differential #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... level <100 pg/ml EKG ... ventricular function Pulmonary-Artery ... embolism • Re-expansion ... differential #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... occlusion that may lead ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
QRS complex Pulmonary ... Embolism: • T-wave ... • Epicardial artery ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram