16 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... HCM #clinical #echocardiogram ... #plax #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Septic patient ... Diagnosis? ... #Systolic #Anterior ... #ultrasound #Cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
• Typically anterior ... infarct Ventricular Septal ... Infarction #acuteMI #cardiology ... #differential # ... diagnosis #timeline
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
on POCUS Echocardiogram ... getting 12 lead ECG ... Diagnosis? ... ECG obtained. ... #ultrasound #Cardiology
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... EKG: nsr, TWI v1 ... What's his diagnosis ... #Anterior #Septal ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
L5/S1 with an inferior ... sequestration • epidural hematoma ... Diagnosis: • ... Imaging studies: • MRI ... #diagnosis #causes
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Sister had MI in ... Differential/diagnosis ... inversions V1-V4 plus inferior ... #clinical #cardiology