24 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... will show low voltage ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
in acute PE are low ... EKG is helpful in ... other causes of cardio-pulmonary ... Incomplete or Complete ... AcutePE #diagnosis #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade ... EKG Findings: ... ST elevation), Low ... diagnosis #management #cardiology
POCUS Echocardiography - Table of Cardiac Views and Windows
 • Parastemal Long-Axis View (PLAX)
 • Parasternal
Echocardiography - Table ... of Cardiac Views ... • SSN: Color Flow ... #TTE #Echocardiogram ... Echocardiography #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... tardus (delayed/slow ... Abnormalities #Disorders #Cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Wide-Complex Tachycardia ... nodal agents (e.g ... Follow narrow-complex ... Treatment #management #cardiology ... #algorithm
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
(1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... , TIMI low (1-2) ... #Indications #Cardiac ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... Initiative #Management #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Narrow-Complex ... Control rate (e.g ... Treatment #management #cardiology ... #algorithm
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
adequate blood flow ... characterized by complete ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG