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Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Hypercalcemia - EKG Findings Causes of Hypercalcemia • Malignancy • Milk-alkali syndrome • Vitamin D toxicity •
Hypercalcemia - EKG ... • Milk-alkali syndrome ... Hypercalcemia #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... #Cardiology
There are two patterns of T-wave abnormality in Wellens’ syndrome: -Type A = Biphasic, with initial positivity
abnormality in Wellens’ syndrome ... inverted (75% of cases ... ) #Diagnosis #Cardiology ... #ECG #EKG #Wellens ... #Syndrome #TypeA
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
infarction Takotsubo (stress ... wave inversion syndrome ... #Differential #Diagnosis ... #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
anterior wall MI ... period without chest ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #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
Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Diagnosis Framework ... Myocardium: - Myocarditis ... Costochondritis - Tietze syndrome ... #Differential #Diagnosis ... #Causes #Cardiology
Causes of Myocarditis Infectious Etiologies: • Viral agents: Adenoviruses, Enteroviruses (coxsackievirus), Herpesviruses (human herpesvirus 6, Epstein—Barr virus),
Causes of Myocarditis ... : Churg-Strauss ... syndrome, Diabetes ... #differential #diagnosis ... #cardiology #causes
ECG characteristics of early repolarization - The ST segment elevations are concave and most pronounced in
ECG characteristics ... occur on the same ECG ... In case of chest ... #Diagnosis #Cardiology ... #EKG #ECG #Early
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