19 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
) EM resident ... Admit ==> Positive ... Metoprolol - VCU Ultrasound ... echocardiogram #plax ... #cardiology #pocus
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Isoelectric segment with positive ... leads: "Positive ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... #Systolic #Anterior ... Motion #LVOTO #SAM #HOCM ... #ultrasound #Cardiology ... #PLAX #clinical
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
flutter waves in the inferior ... This appears as positively-directed ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for ... Systolic Right Atrial ... #Diagnosis #Evaluation ... #Cardiology #Effusion ... Echocardiogram #Ultrasound
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... circuit • Positive ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
stage 1 - diffuse, positive ... leads indicates atrial ... patients) stage 4 - ECG ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
getting 12 lead ECG ... Diagnosis? ... ECG obtained. ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Inferior leads ... Isoelectric segment with positive ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Inferior leads ... : "Positive" waves ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis