35 results
Ventricular Parasystole on EKG

Normal AV conduction depolarizes the ventricle before the parasystolic focus fires

- Dr. Eric
on EKG Normal ... the parasystolic focus ... #Parasystole #EKG ... #ECG #electrocardiogram ... #cardiology #clinical
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
STEMI, but becomes ventricular ... or polymorphic ventricular ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Diagnosis and Causes ... • Clinical presentation ... rnonths, Cardiogenic ventricular ... Paraclinical assessment: EKG ... #cardiology #MRI
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... leads Cardiac MRI ... #Ultrasound #Clinical ... Echocardiogram #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
despite intensive medical ... New/worsening MR ... Sustained ventricular ... low (1-2) risk, +ECG ... catheterization #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... See thread for POCUS ... Pulmonary #Embolism #ECG ... #clinical #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
production to cause ... Contraindications: Pts with ventricular ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... long, the right ventricular ... Northwestern University #Clinical ... #EM #Radiology ... #POCUS #CardiacUS
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... ) EM resident ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology ... #pocus