12 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... Leads (VI-V3) +/- Inferior ... #Embolism #AcutePE ... #diagnosis #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... inversions V1-V4 plus inferior ... seen in 34% of cases ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Cause Injury By ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Causes include: ... level <100 pg/ml EKG ... • Pulmonary embolism ... #cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Anterior Akinesia ... getting 12 lead ECG ... Diagnosis? ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... aureus, Coagulase-negative ... staphylococci Culture Negative ... ↑ ESR, CRP • EKG ... Treat underlying cause
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... Abnormality on POCUS ... EKG: nsr, TWI v1 ... What's his diagnosis ... #PLAX #LAD
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... complex Pulmonary Embolism ... voltage Other Causes ... #cardiology #ecg
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - PLAX ... K 5.9 without EKG ... Cultures including TB negative ... #clinical #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... have achieved negative ... the determined cause ... #algorithm #management ... #cardiology #treatment