12 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... High rate in <1 ... Serial EKGS in pts ... Sign #EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
x 10 Rhythm (1) ... : WPW, ectopic atrial ... pacer - QTc < 1/ ... Approach #ECG #EKG #diagnosis ... #electrocardiogram
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(LV thrombus, LAA ... Angiography or Cardiac ... non-culprit vessels • Atrial ... PFO, ASD, h/o of cardiac ... Artery #Embolism #diagnosis
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... thickening and biatrial ... appearance of heart on CXR ... Echocardiogram #Cardiology ... #A4C
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (4) All 4 cardiac ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG 1. ... anterior descending (LAD ... Subepicardial atrial ... #leadAVR #ecg #electrocardiogram ... #diagnosis #ekg
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
• Onset Hours Cardio ... people) = 4.5 Gy. 1 ... Gy = ~10,000 CXRs ... Lymphopenia is first lab ... Injury #Toxicity #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... → no signs of CXR ... Consider cardiac ... Other: Electrocardiogram ... #heartfailure #diagnosis
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... thickening and biatrial ... appearance of heart on CXR ... #Amyloidosis #Cardiac ... Echocardiogram #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... one post op Cardiology ... postoperative cardiac ... CARP, DECREASE V trials ... stratification #diagnosis