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cardiology diagnosis differential clinical fibrillation pocus electrocardiogram stroke ultrasound ventricular a4c acutepe bradyarrhythmia bradycardia cva ecg embolism functional infectiousdiseases ischemic
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... 200ms from longer pause ... #EKG #diagnosis
Stroke Etiologies Hemorrhagic (IPH, SAH) Ischemic - Large Vessel Atherosclerosis - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial ... fib, prosthetic ... , LV aneurysm, Endocarditis ... embolism, Occult a-fib ... EricsMedicalLectures/ #Stroke #causes
Causes of Ischemic Stroke - Differential Diagnosis Framework Important to determine and treat the etiology behind because
Causes of Ischemic ... • Arrhythmias: Afib ... * • Valvular: Mitral ... Prosthetic valve • Endocarditis ... Non-atherosclerotic: Arterial
Atrial Fibrillation on POCUS Echocardiogram (A4C) 35yoF presents with acute onset atrial fibrillation. POCUS shows dilated
Atrial Fibrillation ... on POCUS Echocardiogram ... & poor mitral valve ... #Fibrillation #AFib ... #POCUS #Echocardiogram
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 Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... disease Infective endocarditis ... (vegetations)/tumor ... (left atrial myxoma
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... common finding) • Atrial ... ., A-Fib also a ... result of atrial
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... formation • Other vegetations ... ↑ ESR, CRP • EKG ... -mm left sided vegetations
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... heart failure • Mitral ... stenosis) • Severe mitral ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Causes of Primary ... Regurgitation (MR) Causes ... Infective/marantic endocarditis ... Vegetations seen ... plane into left atrium
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Fibrillation on POCUS Echocardiogram ... Fine Vfib can be ... getting 12 lead ECG ... #Fibrillation #VFib ... #S4C #POCUS #Echocardiogram
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