13 results
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
conditions: - Acute MI ... ) #Diagnosis # ... Cardiology #EKG ... #ECG #Lead #AVR ... #Utility #ALiEM
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... TTE, TEE, CT or MRI ... #diagnosis #differential ... #scoring #criteria ... #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... #Testing #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
WPW is caused by ... Pathophysiology #Diagnosis ... #Cardiology #MedStudent ... #EKG #WPW #WolffParkinsonWhite ... DeltaWave #ShortPR #Criteria
The modified Sgarbossa Rule uses proportions to identify acute AMI in the setting of ST-elevations in
Sgarbossa Rule uses ... #Diagnosis #EM ... #Cardiology #Modified ... #Sgarbossa #Criteria ... #ALiEM
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cause Injury By ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #management #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Serial trops (-) EM ... Admit ==> Positive stress ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology ... #pocus
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... infarction • Stress ... • Pulmonary embolus ... ancestry, LGE on MRI ... #management #cardiology