11 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #Diagnosis #Cardiology ... #Criteria
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology ... McConnells #sign #ClotInTransit
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... Capture: Narrow, different ... - Suspect STEMI ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... aVR • Classic EKG ... #differential # ... cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... inversions V1-V4 plus inferior ... #EKG #Electrocardiogram ... #clinical #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
She had gained 15 ... kg and swollen ... meeting diagnostic criteria ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... QRS complex Pulmonary ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology