20 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... myocarditis (diffuse STE ... precordial leads with STE ... inversion - STE ... a 15 lead - STE
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... STE in II, III, ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... believe that the ST ... segment is the only ECG ... #Differential #Algorithm
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism (VTE ... • Provoked (e.g ... - Recurrent VTE ... hematology #diagnosis #algorithm ... #hematology #VTE
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
Dissection on POCUS ... EKG: afib, twi I ... rwp with 1-2mm ste ... Next step? ... Dissection #Aorta #POCUS
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Upsloping convex STE ... Cardiomyopathy: • STE ... Other Causes - STE ... diagnosis #cardiology #ecg
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
Imaging Plane, e.g ... Structures Visualized, e.g ... #Nomenclature #POCUS ... cardiology #views #TTE