13 results
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
presented with acute ... Thrombus in transit ... in RA. dilated RV ... Clinical #POCUS #Echocardiogram ... #A4C #McConnells
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... depression in V2 - RV ... electrocardiogram #cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... ; RV enlargement ... " c/w acute right ... #POCUS #Echocardiogram ... #ultrasound #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... • Dominant R Wave ... Ischemia or Strain ... #diagnosis #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... (hypo kinetic RV ... infarct or acute ... #clinical #cardiology ... #a4c #labeled
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ... ischemia in LVH ... #differential #cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
LV/RV Dysfunction ... HTN and LV/RV dysfunction ... poor prognostic signs ... • Stasis and thrombus ... #cardiology #differential
Pulmonary Embolism in COVID-19- Clot in Transit

57 year old COVID PUI  with massive RA thrombus
with massive RA thrombus ... complicated by RV ... Resulted in cardiac ... Pulmonary #Embolism #AcutePE ... #A4C #Clinical
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... woman in ICU for acute ... ischemic limb. ... #Cardiac #LV #Echocardiogram ... #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Mitral Stenosis on Echocardiogram ... (3) RV dysfunction ... (4) All 4 cardiac ... #clinical #cardiology ... #a4c #thrombus