19 results
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot ... misdiagnosed as STEMI ... large clot and tamponade ... Echocardiogram #POCUS ... #clinical #cardiology
Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c)
RA collapse= earliest sign. RV collapse =
Pericardial effusion ... with signs of tamponade ... on POCUS Echocardiogram ... #POCUS #clinical ... echocardiogram #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #Ischemia #ECG ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #differential # ... cardiology #electrocardiogram
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 ... A4c #clinical #cardiology ... #McConnells #sign
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... flow in all major epicardial ... Initiative #Management #Cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Effusion on POCUS ... swinging heart in pre tamponade ... EKG from same patient ... electrical #alternans #POCUS ... A4C #Clinical #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
atrial injury from pericardial ... ST elevation: Differential ... • Vereckei criteria ... #differential # ... cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Dissection on POCUS ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... intrinsic rate (start ... Start pacing. ... bradycardia #diagnosis #differential ... #management #cardiology