20 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... also a result of atrial ... #diagnosis #cardiology ... #electrocardiogram
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... non-culprit vessels • Atrial ... risk factors: cardiomyopathy ... #diagnosis #differential ... scoring #criteria #cardiology
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
apical ballooning) cardiomyopathy ... Apical hypertrophic cardiomyopathy ... #Differential #Diagnosis ... #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... • Pulmonary embolism ... Initial workup: • EKG ... • Bedside ultrasound ... , PT. aPTT • Serial
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... • Restrictive Cardiomyopathy ... • Pulmonary Embolism ... Primary Pulmonary Arterial ... #HeartFailure #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
300 = NSVT EKG ... capture of the atria ... Differential Diagnosis ... arrhythmia • Atrial ... #differential #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cause Injury By ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #management #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(3) SVTs - atrial ... 200ms from longer pause ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... : • Cardiomyopathy ... • Hypertrophic cardiomyopathy ... #Palpitations #Cardiology