26 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
on POCUS Severe ... hour, Ant/Sept STEMI ... on EKG. ... #POCUS #Echocardiogram ... PSAX #Clinical #Cardiology
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Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... NSTEMI: 1. ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... , Aortic dissection ... #Ischemia #ECG ... electrocardiogram #cardiology
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
using three (3) components ... Imaging Plane, e.g ... Structures Visualized, e.g ... #Nomenclature #POCUS ... #cardiology #views
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Type A Aortic Dissection ... on POCUS Echocardiogram ... STEMI on EKG ... #POCUS #Echocardiogram ... #cardiology #clinical
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STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... *will* go into Cardiac ... @EM_RESUS #STEMI ... Tombstones #SharkFins #ecg ... #cardiology #clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... Initiative #Management #Cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
positive to negative direction ... Originates from single focus ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
waves in opposite direction ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
8.5 Here’s an #ECG ... with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical