26 results
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... has Kussmaul's sign ... the underlying diagnosis ... #Giant #PHTN #JVP ... #PhysicalExam #Clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read more: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466174/

- VCU Ultrasound
Signs of Tamponade ... #tamponade #phtn ... #pulmonary #hypertension ... #pocus #clinical ... echocardiogram #a4c
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 ... #EKG #diagnosis ... Interpretation #differential
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 ... #EKG #diagnosis ... #differential #
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... Management Clinical ... BP (despite hx HTN ... ) EKG Findings ... pseudoinfarct pattern (Q-waves
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... of Pulmonary Hypertension ... Pulmonary hypertension ... PHTN #Classification ... #Diagnosis #Differential
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
And Proteinuria (e.g ... doubling of Cr), pulmonary ... so have high clinical ... #cardiology #differential ... #diagnosis
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension ... Signs of Tamponade ... sided collapse) #Clinical ... Echocardiogram #A4C ... LeftSided #Collapse #PHTN
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... that’s called “clinical ... ’s called Frog sign