20 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
rales, peripheral edema ... lines, alveolar edema ... → no signs of CXR ... Other: Electrocardiogram ... diagnosis #management #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Aortic Stenosis - Diagnosis and Stages

Clinical Presentation
- Exertional dyspnea
- Chest pain
- Palpitations
- HF Symptoms (orthopnea, PND,
Palpitations - HF ... orthopnea, PND, LE edema ... Stages #Management #Signs ... #Symptoms #Cardiology
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
- Interstitial edema ... Stage II of CHF ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... #Intersitial #Edema
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
called cardiogenic edema ... non-cardiogenic edema ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology ... #electrocardiogram
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... , interstitial edema ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
in a supine or semi-erect ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
with alveolar edema ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema