41 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
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
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
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
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
thrombolysed with SK ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... Echocardiogram #POCUS ... #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 ... 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
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... A4c #clinical #cardiology