30 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
1) Transducer Position ... Imaging Plane, e.g ... ., LAX, SAX, or4C ... #Nomenclature #POCUS ... #cardiology #views
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... A4c #clinical #cardiology
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
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... Echocardiogram #ultrasound #Cardiology ... #PLAX #clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... endocarditis w/ septic pulmonary ... Persistent fever, positive ... block (+/- daily EKG ... #criticalcare #diagnosis
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
ventricular arrythmias Diagnostics ... : EKG ($), ECHO ... SPECT ($$$), PET CT ... Stress #Testing #cardiology ... #management #diagnosis
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Admit ==> Positive ... echocardiogram #plax ... #cardiology #pocus
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Pads in AP position ... #bradycardia #diagnosis ... #differential #management ... #cardiology
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign on POCUS ... Positive McConnell's ... highly specific for pulmonary ... McConnells #Sign #POCUS ... #clinical #cardiology