29 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... Tests: ECG, Telemetry ... , Carotid U/S, EEG ... Brain MRI, Cardiac stress ... #diagnosis #workup
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
- Differential Diagnosis ... • Emotional stress ... Bradyarrhythmias • Sinus bradycardia ... Medication side effect (e.g ... Medication side effect (e.g
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... • Brain MRI • EEG ... • Cardiac stress ... #diagnosis #workup
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
- Syncope Syndromes ... Wong @mchlwng #Syncope ... #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... #Testing #cardiology ... #management #diagnosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... #diagnosis #differential ... #management #cardiology
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... syndrome – look for a short ... there is also a short ... #EKG #ECG #Diagnosis ... #Cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... , Symptoms and Management ... - exertional syncope ... despite hx HTN) EKG ... Signs #Symptoms #Cardiology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
**Get baseline EKG ... in new syncope/ ... noises or emotional stress ... LongQT #Syndrome #Diagnosis ... #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... within the atria (e.g ... @AmyChung #EKG ... Interpretation #ECG