35 results
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
66 yo with syncope ... Tachycardia This ECG ... quite fast (heart rate ... VentricularTachycardia #Clinical ... #Cardiology #ECG
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... waves • Pseudo-STEMI ... concentration, the rate ... #Hyperkalemia #EKG ... #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... High rate in <1 ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
+ negative T WPW ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
, e.g., due to arrhythmias ... (ruling out differential ... orthostatic vital sign ... and an initial ECG ... should be guided by clinical
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... Management Clinical ... - exertional syncope ... despite hx HTN) EKG ... Amyloidosis #Cardiac #Diagnosis
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr. ... iBookCC #COVID19 #algorithm
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... ventricular arrythmia, syncope ... Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... cardiology #McConnells #sign
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... Cannon A per minute=rate ... are enough to diagnose ... excludes other differentials ... that’s called “clinical