30 results
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Flecainide Toxicity on ECG ... chronic atrial fibrillation ... creatinine slightly elevated ... Flecainide #Toxicity #ECG ... #Cardiology #Clinical
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial #Fibrillation ... #Cardiology #Management
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Regurgitation - Elevated ... Pulmonary Artery ... Echocardiogram #POCUS ... #Ventricular #cardiology ... #POCUS
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... Heart failure • Elevated ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Pulmonary embolism ... RJonesSonoEM #Pulmonary ... A4c #clinical #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... Probable atrial fibrillation ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... rhythm in atrial fibrilation ... hypertension, pulmonary ... ineffective) #Management ... #Cardiology #HFpEF
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Symptoms and Management ... despite hx HTN) EKG ... leads) - atrial fibrillation ... Diagnosis #Stages #Management ... Signs #Symptoms #Cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology ... #management #treatment