21 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Testing and Evaluation ... , Cardiac enzymes ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... diagnosis #workup #testing
Patent Ductus Arteriosus (PDA) on Cardiac MRI

16 y with Syncope /differential cyanosis / clubbing - PDA
Arteriosus (PDA) on Cardiac ... MRI 16 y with ... Syncope /differential ... PDA #CardiacMRI #CMRI ... #clinical #cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... ventricular arrythmia, syncope ... Paraclinical assessment: EKG ... Diagnosis #Causes #cardiology ... #MRI
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Syncope Cost-Effectiveness ... Carotid US • Brain MRI ... • EEGCardiac ... stress testing ... • Cardiac Enzymes
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... #Stress #Testing ... #cardiology #management
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Arrhythmias - Differential ... palpitations, dizziness, syncope ... chest discomfort Cardiac ... tissue (previous MI ... #Differential #
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... • Migraine Cardiac ... Contractility: • MI ... Stenosis • Cardiac ... #Cardiology #Differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs - Syncope ... Wong @mchlwng #Syncope ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
syndrome – look for a short ... associated with sudden cardiac ... there is also a short ... #EKG #ECG #Diagnosis ... #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... Disadvantages: Short ... • Advantages: Longer ... NUIM_Chiefs #Cardiac ... Devices #Comparison #cardiology