11 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... stenosis of proximal LAD ... with history of angina ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... Activate cath lab ... Echocardiogram #A4c ... #clinical #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(LV thrombus, LAA ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... #diagnosis #differential ... scoring #criteria #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
troponin elevation Diagnosis ... changes on tele/ECG ... tests in cath lab ... #cardiology #diagnosis ... #management
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
III: restrictive left ... LV compliance), ECG ... flow progression, LA ... : left atrium, PASP ... #Diagnosis #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... indicative of left ... artery (LMCA). left ... anterior descending (LAD ... #cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left ... ECG: AF. ... mobil thrombus in LA ... Thrombus #Mobile #LA ... Transesophageal #Ultrasound #Cardiology
Right heart dysfunction and failure in heart failure with preserved ejection fraction: mechanisms and management 
Source:
mechanisms and management ... relaxation time; LA ... , left atrium; LV ... diameter; RA, right atrium ... #Diagnosis #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... ↑ ESR, CRP • EKG ... • Left sided > Right ... heart failure • Left ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
one post op Cardiology ... Unstable Angina ... and undergoing AAA ... medical and surgical management ... stratification #diagnosis