21 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... Number of Cannon A per ... are enough to diagnose ... the case as Typical ... #Cardiology #Neck
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Caused by atrial ... activation from SVT (e.g ... 2LmUODZ #Cannon #AWaves ... #diagnosis #cardiology ... #CVP
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... have elevated JVP ... the underlying diagnosis ... Clinical #Video #Cardiology
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... / Peak • With ... Fusion of Lancisi Sign ... Pressure #Algorithm #diagnosis ... #cardiology #physicalexam
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Checklist for the ... • Evaluate for signs ... • Evaluate for causes ... Echocardiography #diagnosis ... #cardiology #echocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑K - brady, peak ... Short QT (<360ms) PE ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... infarction, massive PE ... #cardiology #differential ... #causes
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
findings in acute PE ... evaluating for other causes ... • Dominant R Wave ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
100/82, HR 74, JVP ... ASA, Kussmaul's sign ... to workup right-heart ... expiration not meeting diagnostic ... pocus #clinical #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... STE: "Pardee's sign ... peak time > 60ms ... #cardiology #ecg ... #ekg #electrocardiogram