21 results
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... features of the EKG ... can point to an alternate ... #Cardiology #EKG ... #ECG #STElevation
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... demonstrating ECG ... alternans motion ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... stage 1 - diffuse, positive ... patients) stage 4 - ECG ... #EM #IM #Cardiology ... #EKG #Pericarditis
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
axis swings from positive ... Originates from single focus ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... malignant #clinical #cardiology ... #pocus #S4C #electrical ... #alternans
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Pericardial Effusion on POCUS ... for electrical alternans ... EKG from same patient ... #A4C #Clinical ... #Cardiology #Swinging
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
1) Transducer Position ... Imaging Plane, e.g ... Structures Visualized, e.g ... #Nomenclature #POCUS ... #cardiology #views
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
lateral leads, also diagnostic ... of STEMI. ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
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 ... Echocardiogram #A4c ... #clinical #cardiology