19 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... leads Cardiac MRI ... #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... becoming acute anterior ... wall MI — 'widow ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
specific for a critical ... stenosis of the left anterior ... descending (LAD ... #EKG #ECG #Electrocardiogram ... #Diagnosis
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... axis deviation (LAD ... Fascicular #Block #diagnosis ... #cardiology #EKG ... #labeled #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
While getting 12 lead ... Diagnosis? ... ECG obtained. ... Echocardiogram #ultrasound ... #Cardiology #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... Clinical • Under-recognized ... support for patients clinically ... #cardiology #treatment
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... #HOCM #HCM #clinical ... echocardiogram #plax #cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Anterior Hypokinesis ... EKG unremarkable ... previous hx of MI ... Echocardiogram #clinical ... #cardiology #PSAX
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... patients require LVAD ... #Cardiology #OBGyn ... #Diagnosis