18 results
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... conditions: - Acute MI ... Brugada criteria) #Diagnosis ... #Cardiology #EKG ... #Utility #ALiEM
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... cardiac death Management ... #Management #Cardiology
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 ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
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LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... #Systolic #Anterior ... Echocardiogram #ultrasound #Cardiology
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Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
ventricular arrythmias Diagnostics ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
balloon counter-pulsation ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
on POCUS Echocardiogram ... EKG unremarkable ... previous hx of MI ... This was her EKG ... #clinical #cardiology
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Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... in avL - early inferior ... MI - R/S >1 or ... #EKG #diagnosis ... electrocardiogram #cardiology