25 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... stenosis of proximal LAD ... becoming acute anterior ... wall MI — 'widow ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Abnormalities on POCUS ... ECG with concerning ... Had RCA occlusion ... Echocardiogram #clinical ... #cardiology #PSAX
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... Patient had severe ... #clinical #cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... previous hx of MI ... Confirmed to have LAD ... #clinical #cardiology ... WMA #Akinesis #LAD
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... descending (LAD ... QTc interval, RAD ... cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
anteroapical (anterior ... poor prognostic signs ... in duration (↑ LA ... Infarction #acuteMI #cardiology ... #differential #
Postinfarction Ventricular Septal Rupture
Inferior infarct.
Ivs flat suggest high RV pressure- bad news
Needs immediate cardiac surgery.

Ivan Stankovic,
Postinfarction Ventricular ... Septal Rupture Inferior ... high RV pressure- bad ... Echocardiogram #clinical ... #cardiology #pocus
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology ... Interpretation #differential
Osgood-Schlatter Disease - MSK Radiology
Imaging Findings:
 • Infrapatellar fat-pad edema with loss of the patellar tendon
Infrapatellar fat-pad ... • MRI is more sensitive ... - Hoffa fat pad ... tibial tuberosity Differential ... #mri #clinical