12 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... leads) RV Ischemia ... #EKG #Pulmonary ... #diagnosis #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... • Bedside ultrasound
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... concerning for Pulmonary ... Embolism. ... #clinical #ultrasound ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... /ischemic insult ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
ECG: AF. ... stenosis.Simultaneous embolic ... @odremanr #Atrial ... Transesophageal #Ultrasound ... #Cardiology #Clinical
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... /ischemic insult ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
is the cardiac ultrasound ... described for Pulmonary ... Embolism; here ... #Clinical #POCUS ... Echocardiogram #Definity #A4C
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... algorithm to determine ... Obtain EKG if: ... Change in clinical ... one post op Cardiology
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Echocardiogram Pulmonary ... This case illustrates ... 100% reliable sign ... Echocardiogram #clinical ... #cardiology #s4c