11 results
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
"Sinus Tach" at ... cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... - Differential Diagnosis ... fibrillation, sinus ... Absent y descent - Cardiac ... #PhysicalExam #cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... Management Clinical ... despite hx HTN) EKG ... precordial leads) - atrial
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
PR interval are normal ... Wandering Atrial ... #Arrhythmia #cardiology ... #diagnosis #ekg ... #variants #clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Unexplained sinus ... summation gallop • Abnormal ... ECG, echocardiogram ... shock, sudden cardiac
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... with sinus tachycardia ... root, and left atrium ... #EM #Radiology ... #POCUS #CardiacUS
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Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... exam • 12-lead ECG ... flutter, or atrial ... #Palpitations #Cardiology
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
PR interval are normal ... Wandering Atrial ... #Arrhythmia #cardiology ... #diagnosis #ekg ... #variants #clinical
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... (≥ 0.12s) with abnormal ... capture of the atria ... tachycardia • Sinus ... arrhythmia • Atrial
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Change in clinical ... postoperative cardiac ... CARP, DECREASE V trials ... stratification #diagnosis