12 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... regurgitation; AS, aortic ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... Wave in V1 • Shift ... #diagnosis #cardiology ... #electrocardiogram
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... • Malignancy (e.g ... Complications of acute ... infarction • Aortic ... #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... STEMI, Aortic dissection ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Culture (+): Acute ... murmur • Valvular ... ↑ ESR, CRP • EKG ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
pressure ratio 0.25), murmur ... (Sens. 81% for acute ... Consider cardiac ... Other: Electrocardiogram ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
irregular rhythm, new murmur ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... Culture Positive: • Acute ... murmur • Valvular ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... auscultation, JVD ... ECG is vital while ... Cardiac cath if ... algorithm #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... weeks following an acute ... aortic dissection ... #cardiology #ecg ... #ekg #electrocardiogram