35 results
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Algorithm • STEMI ... • NSTEMI (Troponin ... (UA, Troponin Negative ... ) Management: ... #Algorithm #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... considered to have ’relative ... STEMI Criteria misses ... Occlusion #Total #ECG ... #Clinical #Cardiology
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... Echocardiogram #POCUS ... #clinical #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
death of close relative ... , ECG diagnosis ... was STEMI AW. ... Angiogram #clinical #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Artery #Dissection #POCUS ... PSAX #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
2ms spike - Fusion ... : odd QRS from native ... Criteria - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
from positive to negative ... Originates from single focus ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... • Malignancy (e.g ... may have false negative ... #Pericardial #Effusion ... Differential #Diagnosis #cardiology
Post-MI Free Wall Rupture
1. What's the role of revascularization when presenting with late STEMI?
2. What are
presenting with late STEMI ... hemorrhagic pericardial effusion ... pursue surgical management ... FreeWall #Rupture #cardiology ... acuteMI #diagnosis #management
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs ... entirely positive or negative ... positive in aVR and negative ... - Fusion beats ... #ekg #cardiology