29 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... acute cardiac injury ... Findings: - AV block ... #diagnosis #management ... #cardiology #summary
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Cardiology
Mobitz Type I (Wenckebach Phenomenon) 2nd Degree AV Block on EKG
 • P-R interval gradually increases
2nd Degree AV Block ... to 6:5 in this ECG ... #AVBlock #diagnosis ... #cardiology #EKG ... #labeled #clinical
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... Paraclinical assessment: EKG ... Beaudequin #Myocarditis ... #Causes #cardiology
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Myocardial Injury ... cardiac illness: Myocarditis ... non-cardiac illness: Critical ... Classification #diagnosis ... #cardiology #troponemia
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Anterior Fascicular Block ... Anterior #Fascicular #Block ... #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
Tachycardia This ECG ... bundle branch block ... establish the diagnosis ... VentricularTachycardia #Clinical ... #Cardiology #ECG
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... Algorithm Cardiovascular ... Pericarditis • Myocarditis ... • Muscular Injury ... ChestPain #Noncardiac #Cardiology
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
hypercalcemia, brain injury ... This EKG was recorded ... #Cardiology #diagnosis ... Electrocardiogram #ECG ... #Clinical
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... of conduction block ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical