34 results
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... may have false negative ... Hemopericardium #Differential ... #Diagnosis #cardiology
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis
WCT is VT IF:
 • Initial
or q wave > 40 ms ... downstroke of negative ... in the last 40 ms ... avr #diagnosis #cardiology ... #ekg #ecg #telemetry
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot on Echocardiogram ... thrombolysed with SK ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... POCUS #clinical #cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Rhythm (AIVR) on EKG ... complexes >120 ms ... • Capture and fusion ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
entirely positive or negative ... positive in aVR and negative ... - Fusion beats ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... >1 of V1-V3 + negative ... Syncope #Syndromes #ECG ... #diagnosis #cardiology ... electrocardiogram #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... A4c #clinical #cardiology
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
for pericardial effusion ... shunt lesions) • Differentiate ... Echocardiography #diagnosis #cardiology ... #echocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
2ms spike - Fusion ... : odd QRS from native ... different QRS from native ... electrocardiogram #ecg ... #cardiology #lbbb
VT versus SVT with Aberration - Interpretation Cheat Sheet

Features favouring VT
● Absence of typical RBBB or
a VT run) and fusion ... ● Positive or negative ... Positive or negative ... point) of S > 100 ms ... Comparison #Diagnosis #Cardiology