24 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... EKG is helpful in ... in relation to ECG ... cardionerds #EKG ... #diagnosis #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #POCUS #Echocardiogram ... A4c #clinical #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... with multiple embolic ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... delta wave and short ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... within the atria (e.g ... @AmyChung #EKG ... Interpretation #ECG
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... over 2 h (>65 kg ... mainstay of initial management ... Intraoperative #Checklist ... #Diagnosis #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... #Management #Cardiology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Cardioembolic: • ECG ... +/- TEE (high Afib ... No major-risk embolic ... stroke #workup #diagnosis ... #checklist #neurology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management