12 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
High rate in <1 ... Serial EKGS in pts ... Wellens #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/ ... #EKG #diagnosis ... #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
1. ... anterior descending (LAD ... Subepicardial atrial ... #electrocardiogram ... #diagnosis #ekg
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
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 ... K 5.9 without EKG ... #Cardiac #Tamponade
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
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac ... stratification #diagnosis
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... stopped after 1 ... K 5.9 without EKG ... #Cardiac #Tamponade ... PLAX #clinical #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
typically fall into 1 ... hemodynamics and cardiac ... ECG is vital while ... lab markers such ... Cardiac cath if