14 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in AVNRT ... on Neck Physical ... shown , what’s the diagnosis ... #Neck #PhysicalExam ... #JVP #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
A waves during AVNRT ... transmitted to JV ... are enough to diagnose ... #PhysicalExam #JVP ... #Cardiology #Neck
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
found to have elevated ... JVP, a parasternal ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Heart failure • Elevated ... shock, sudden cardiac ... death Management ... #Management #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... - Distended neck ... JVP, echo abnormalities ... Cardiac surgery?
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
balloon counter-pulsation ... sync with the cardiac ... Weaning by Nick ... Balloon #Pump #diagnosis ... #management #cardiology
Post Cardiac Catheterization Complications
Access site complications
 • Hematoma - Pain, swelling, bruising
 • Retroperitoneal bleed -
Pain, swelling, pulsatile ... , hypotension, elevated ... JVD • Stroke - ... Complications #cardiology ... #differential #diagnosis
Temporary / External Pacing
 • Transvenous & epicardial pacing are temporary methods of supporting brady- &
• External cardiac ... responds to native cardiac ... activity by Nick ... External #Pacing #cardiology ... #diagnosis #management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... in the chest or neck ... maneuvers: SVT-AVNRT ... bending over: AVNRT ... #Palpitations #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
auscultation, JVD ... Troponin may be elevated ... Cardiac cath if ... #algorithm #management ... #cardiology #treatment