17 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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... Treat underlying cause ... disease or CHF) ... Treatment #management #cardiology ... #algorithm
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
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Embolism ... Arterial Hypertension ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
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
Large Mobile Left Atrial ... ECG: AF. ... stenosis.Simultaneous embolic ... Transesophageal #Ultrasound ... #Cardiology #Clinical
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... to diagnose the case ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
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