36 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... of chest pain ECG ... leads Cardiac MRI ... #Takotsubo #Cardiomyopathy ... Echocardiogram #Cardiology
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
Wave Inversions - Differential ... apical ballooning) cardiomyopathy ... Apical hypertrophic cardiomyopathy ... Diagnosis #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Restrictive Cardiomyopathy ... Descents, Rales,+S4, MR ... Echocardiography, Cardiac MRI ... Diagnosis #Causes #differential ... #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
B Afib + WPW - DANGER ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
: Hypertrophic cardiomyopathy ... Familial dilated cardiomyopathy ... Channelopathies: Long/short ... Cardiac #Arrest #cardiology ... #differential #
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... Diagnosis #Causes #cardiology ... #MRI
Cardiomyopathies 

Manifestations of cardiomyopathy (CM) range from microscopic alterations in cardiac myocytes to fulminant Heart Failure
Manifestations of cardiomyopathy ... Tachycardia (CPVT) • Short ... Cardiomyopathies #cardiology ... #diagnosis #differential ... #cardiomyopathy
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
asymmetrical, similar or bigger ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Arrhythmias - Differential ... disease • Cardiomyopathy ... tissue (previous MI ... #Arrhythmias #Cardiology ... #Differential #
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
- RAD: AntLat MI ... safe #, but >500 DANGER ... - Short QT <300 ... #EKG #diagnosis ... electrocardiogram #cardiology