29 results
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... waves • Pseudo-STEMI ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
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 ... low (1-2) risk, +ECG ... changes or troponin Medical ... #Indications #Cardiac ... catheterization #cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... incongruous with clinical ... context & EKG) ... patients (including cardiac ... #Hypokalemia #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... *will* go into Cardiac ... @EM_RESUS #STEMI ... #ekg #electrocardiogram ... #cardiology #clinical
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia
Worry about hypokalemia; this patient had
Classic EKG triad ... Worry about hypokalemia ... this patient had cardiac ... LongQTC #PVCs #EKG ... #Cardiology #Clinical
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... Clinical Presentation ... despite hx HTN) EKG ... Signs #Symptoms #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary