11 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... RV, McConnell's sign ... , and additional ... #A4c #clinical ... #cardiology #McConnells
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
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 ... #differential #cardiology ... #electrocardiogram
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
common finding) • Atrial ... also a result of atrial ... • Dominant R Wave ... AcutePE #diagnosis #cardiology ... #electrocardiogram
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 ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Idiopathic Pulmonary Arterial Hypertension (IPAH) on Echocardiogram

55 year old female.  Amazing how the body adapts
Idiopathic Pulmonary ... (IPAH) on Echocardiogram ... annular dilatation and ... #Idiopathic #Pulmonary ... #cardiology #a4c
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
McConnell sign ... view E. 60/60 sign ... acceleration time of pulmonary ... cmls) #TTE #Echocardiogram ... RightVentricular #Cardiology
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
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
echo contrast material ... McConnell's sign ... for Pulmonary Embolism ... Clinical #POCUS #Echocardiogram ... #Definity #A4C