13 results
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
, Cardiac failure ... ventricular arrythmia, syncope ... Paraclinical assessment: EKG ... Diagnosis #Causes #cardiology ... #MRI
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... - Syncope Syndromes ... #Syndromes #ECG ... #EKG #Checklist ... electrocardiogram #differential
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... carotid sinus syndrome ... The diagnostic approach ... (ruling out differential
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... • Migraine Cardiac ... Contractility: • MI ... #Syncope #Cardiology ... #Differential #
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (2) Sick Sinus Syndrome ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
– look for a short ... associated with sudden cardiac ... QT syndrome too ... #EKG #ECG #Diagnosis ... #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... safe #, but >500 DANGER ... - Short QT <300 ... Wong @mchlwng #Approach ... #ECG #EKG #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... asymmetrical, similar or bigger ... deWinter T waves - starts ... #EKG #diagnosis ... Interpretation #differential
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Diagnosis Framework Approach ... Non-neuromuscular disorder (Cardiac ... electromyographic (EMG ... ) studies • MRI
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... consciousness • Near-syncope ... , or syncope: Hemodynamically ... #Palpitations #Cardiology ... #Differential #