10 results
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... , often with 1-2 ... V2 • Wellens sign ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
/ Don't Miss Signs ... bigger than QRS - deWinter ... upsloping ST dep and ... electrocardiogram #cardiology ... #STEMI #Equivalents
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... #clinical #echocardiogram ... #s4c #pocus #bubble
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... Early transit of bubbles ... >LAP as atrial septum ... clinical #pocus #a4c ... intrapulmonary #cardiology
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
(a4c) It belongs ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #a4c #Echocardiogram
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
thromboembolism) 1) ... Transthoracic echocardiogram ... m/s • Other signs ... ventricular septum 2) ... Effect: PATENT-1
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Pulmonary arterial ... severe RV dilation and ... 100% reliable sign ... #clinical #cardiology ... #s4c #pocus
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... • Absence of P waves ... Cardioversion 1. ... cardioversion 2. ... diagnosis #management #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... murmur 3/6) - Pulmonary ... days before Pulmonary ... one post op Cardiology ... CARP, DECREASE V trials