46 results
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
) and IMPROVE (VTE ... validated for VTE ... studies suggest net clinical ... benefit of anticoagulation ... bleeding risk #HASBLED
Parasternal Short Axis Windows:

Aortic Valve, Mitral Valve, and Papillary Muscle Views

Understanding long and short axes in
short axes in TTE ... Fanning #Views #Clinical ... #Cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
#Clinical #EM #Cardiology ... VentricularTachycardia #VT
Brugada syndrome with non-sustained VT; sodium channel blocking drugs (e.g. amio, procainamide) can be dangerous here!

-
non-sustained VT ... Electrocardiogram #ECG #EKG #Clinical ... #Cardiology #NSVT
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... Diagnosis • TTE ... Rarely performed Anticoagulation ... and recurrent VTE
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
#Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
cultures • 2D Echo TTE ... • TTE nondiagnostic ... cause + Systemic anticoagulation ... diagnosis #management #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... block, Aberrancy, VT ... diagnosis #management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... suggest prophylactic anticoagulation ... support for patients clinically ... Serial TTE and close ... diagnosis #management #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in shock with VT ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy