11 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... • Unexplained sinus ... summation gallop • Abnormal ... #Diagnosis #Management
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
PR interval are normal ... Wandering Atrial ... #diagnosis #ekg ... #variants #clinical ... #comparison
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #diagnosis #management ... #cardiology #summary
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
interval within the normal ... P wave during sinus ... rhythm if the PRI ... #rhythm #cardiology ... #diagnosis #ekg
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
PR interval are normal ... Wandering Atrial ... #diagnosis #ekg ... #variants #clinical ... #comparison
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... Clinical Presentation ... hepatomegaly - normal ... despite hx HTN) EKG ... precordial leads) - atrial
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Diagnosis Summary ... Block • During sinus ... • This is a clinically ... blocks #AVBlock #cardiology ... #ekg #ecg #diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... ancestry, LGE on MRI ... sx overlap with normal ... Serial TTE and close ... #management #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
waves will have normal ... #tachycardia #cardiology ... #diagnosis #ekg ... electrocardiogram #clinical ... #comparison #Arrhythmias
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... rheumatic disease • Myocarditis ... • Nonspecific: sinus ... recognition and management