13 results
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
Tach" at ~150 bpm ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... Wandering Atrial ... #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... 300 = NSVT EKG ... capture of the atria ... arrhythmia • Atrial
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... root, and left atrium ... Michael Macias, EM ... #Radiology #POCUS ... #CardiacUS #ParsternalLong
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... Serial trops (- ... ) EM resident ... echocardiogram #plax #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
(e.g., familial ... and timing with Cardio-OB ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... Wandering Atrial ... #diagnosis #ekg ... #ecg #electrocardiogram ... variants #clinical #comparison
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Causes: • Cardiomyopathy ... Valvular disease (e.g ... • Hypertrophic cardiomyopathy ... #Palpitations #Cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... and an irregular PP ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #comparison