12 results
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
Wave Inversions - Differential ... repolarization Myocardial ischemia ... TWaveInversions #TWI #Differential ... Diagnosis #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... Miss Signs of Ischemia ... Wong @mchlwng #Ischemia ... #electrocardiogram ... #cardiology #STEMI
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Ischemia? ... Patients DIE: Drugs, Ischemia ... bradycardia #diagnosis #differential ... #management #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... predictor of recurrent ischemic ... #electrocardiogram ... #differential # ... cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... deviation) • Acute ischemia ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Differential/diagnosis ... See thread for POCUS ... #EKG #Electrocardiogram ... #clinical #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... , - regional ischemia ... / hypoxemia -> focus ... - regional ischemia ... - Mesenteric ischemia
Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary
Abnormalities (WMA) on POCUS ... of breath and ischemic ... EKG changes (but ... Echocardiogram #PSAX #clinical ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Early embolic/ischemic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... medical and surgical management