16 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... #cardiology #pocus
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
effect = a washout ... patient with an ASD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... excludes other differentials ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram (EKG ... cardiac glycoside from ... fibrillation and ... or biphasic T waves ... #Cardiology #Digitalis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... without chest pain, as ... they result from ... Serial EKGS in pts ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... , and additional ... #A4c #clinical ... #cardiology #McConnells
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Small secundum ASD ... Flow from IVC hampering ... #Atrium #RA #Differential ... #Diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... indistinguishable from ... #differential # ... cardiology #electrocardiogram
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... apex of the R wave ... #EKG #Cardiology ... #Crochetage #Sign ... #ASD
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... upsloping ST dep and ... electrocardiogram #cardiology ... Interpretation #differential