21 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... Treat underlying cause ... Treat underlying cause ... #management #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
• Malignancy (e.g ... patients with pulmonary ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... Differential #Diagnosis #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... Causes include: ... lack of acute cardiac ... level <100 pg/ml EKG ... differential #diagnosis #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... physical activity - Nausea ... (+LR 2.6) - Cardiac ... - History - EKG ... diagnosis #Algorithm #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac ... output - Acute pulmonary
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... In this case, the ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... heart disease Causes ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology