8 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... period without chest ... Serial EKGS in pts ... #Diagnosis #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... accompanied by chest ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
tolerance, and ankle ... un lymphatic Diagnostic ... Chest x-ray: signs ... effusions). 1/5 pts ... #management #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 ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... (Eiffel Tower sign ... #differential #diagnosis ... #cardiology #ecg
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... ECG is vital while ... algorithm #management #cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
- Parasternal Short ... Diagnosis? ... Note akinesia of anterior ... Echocardiogram #ultrasound ... #Cardiology #clinical
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
over the left anterior ... Vital signs: BP ... Due to their short ... over the left anterior ... #Radiology #CTChest