13 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
hour, Ant/Sept STEMI ... on EKG. ... Cath LAD dissection ... Echocardiogram #PSAX #Clinical ... #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic ... dissection • ... Initial workup: • EKG ... ultrasound • CXR ... Matthew Ho, MD PhD
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
(e.g., fever, myalgia ... Stroke, carotid dissection ... lesion • CNS infection ... (e.g., meningitis ... Matthew Ho, MD PhD
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... Primary PCI, first injection ... from LMCA into aortic ... #cardiology #fluoroscopy
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... x-ray and and ECG ... dissection.- Michael ... Northwestern University #Clinical ... #EM #Radiology
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
elevations in different ECG ... Stankovic, MD, PhD ... Intimal #Flap #dissection ... Echocardiogram #clinical ... #cardiology #pocus
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... Post-cardioversion • Acute aortic ... dissection • ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology