31 results
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Echocardiogram A4C ... ECG with anterolateral ... Echocardiogram #A4C ... #LAD #occlusion ... clinical #pocus #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... occlusion 1) ... elevation in aVR (>= 1 ... #Diagnosis #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... withlK Brugada 1 ... Coved STE >2mm in >1 ... strain (neg TV 1- ... #diagnosis #cardiology
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 ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... x 10 Rhythm (1) ... pacer - QTc < 1/ ... #Approach #ECG ... electrocardiogram #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
STEMI NSTEMI: 1. ... /UA, TIMI low (1- ... 2) risk, +ECG changes ... stable, TIMI low (1- ... catheterization #cardiology
Calcifications Around the Heart on Chest XRay
Case #1: This appearance is typical of pericardial calcification &
Chest XRay Case #1: ... calcifications in the LAD ... The proximal LAD ... #Chest #XRay #CXR ... #radiology #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... Severe CP x 1 ... /Sept STEMI on EKG ... @Stronysono #LAD ... PSAX #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... #Ischemia #ECG ... electrocardiogram #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Activate cath lab ... Echocardiogram #A4c ... #clinical #cardiology