19 results
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Symptoms and Management ... despite hx HTN) EKG ... precordial leads) - atrial ... cardionerds #Amyloidosis ... #Symptoms #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... , and additional ... #A4c #clinical ... #cardiology #McConnells
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
used to detect atrial ... atrial flutter ... clinically, based on signs ... standard 12 lead ECG ... #Cardiology #EKG
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... also a result of atrial ... • Dominant R Wave ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
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 ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #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 ... ’s called Frog sign ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... upsloping ST dep and ... electrocardiogram #cardiology
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... Apical 4 Chamber (A4C ... wall thickening and ... biatrial enlargement ... #Cardiology #A4C
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