37 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... - TAKOTSUBO CARDIOMYOPATHY ... SPIKED HELMET SIGN ... Differential #Diagnosis #Cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Definitions - Stable ... , STEMI 1 STABLE ... the setting of a stable ... is reflected by ECG ... #Diagnosis #Cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... of chest pain ECG ... #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... @Pocus101 #DSign ... #Ultrasound #echocardiogram ... psax #diagnosis #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... NSTEMI: 1. ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... catheterization #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
Focal Takotsubo Cardiomyopathy ... close relative, ECG ... diagnosis was STEMI ... Focal #Takotsubo #Cardiomyopathy ... Angiogram #clinical #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics
Typical EKG findings may include:
 • Deep and narrow Q waves
Hypertrophic Cardiomyopathy ... leads • General signs ... #Hypertrophic #Cardiomyopathy ... #HOCM #EKG #ecg ... #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #Ischemia #ECG ... electrocardiogram #cardiology
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... Many authors state ... aVR is a good ECG ... sign of left main ... Clinical #EM #IM #Cardiology