20 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
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 ... large pericardial effusion ... #A4C
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
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 ... large pericardial effusion ... Echocardiogram #Cardiology
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
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome - Diagnosis ... defect (Type 1) ... left heart 3-6 cardiac ... cycles after right atrial ... blood gas (ABC)
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... BUN/Cr- 128/9.4. ... stopped after 1 ... #Cardiac #Tamponade ... #clinical #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... bilateral pleural effusions ... → no signs of CXR ... Consider cardiac ... Other: Electrocardiogram
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
problem. ❸ Call for cardiac ... Start continuous CPR ... using standard protocols ... Recovery may take >1 ... Intraoperative #Checklist #Diagnosis
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