47 results
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome ... of the proximal LAD ... - Isoelectric ST ... Inversion FOAMfrat Team ... FOAMfrat #Wellens #Syndrome
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
ECG - Acute Pericarditis ... Electrocardiogram of a 68-year-old ... Note the diffuse ST ... except for the ST ... #Pericarditis #ECG
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome ... on ECG A 66- ... year-old man with ... A 12-lead ECG is ... #Wellens #Syndrom
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... - Syncope Syndromes ... imitator" • ↓ K - ST ... long QT via long ST ... mchlwng #Syncope #Syndromes
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... point • De Winter syndrome ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... upgaze - Light-near ... retraction (Collier's sign ... → "setting sun sign ... diagnosis #pineal #neurology
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
common - Rare to hear ... crackles on exam, may hear ... sarcoid Lofgren Syndrome ... polyarthralgias Heerfordt syndrome ... Stages #Staging #Signs
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... interval J Wave Syndromes ... ventricle pacing lead ... (Eiffel Tower sign ... diagnosis #cardiology #ecg
Parinaud's syndrome
What?
 • Light-near dissociation (tectal pupils)
 • Convergence retraction nystagmus
 • Eyelid retraction (Collier's sign)
Parinaud's syndrome ... • Light-near dissociation ... retraction (Collier's sign ... "setting sun" sign ... #neurology #diagnosis