52 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Treat underlying cause ... Treatment #management #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG ... #EKG #Electrocardiogram
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Cannon A Waves • Caused ... by atrial contracting ... activation from SVT (e.g ... Cannon #AWaves #diagnosis ... #cardiology #CVP
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... velocities, PVF: pulmonary ... progression, LA: left atrium ... , PASP: pulmonary ... #Diagnosis #Cardiology
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Cardiomyopathy - Valves ... Arterial Hypertension ... #HeartFailure #Cardiology ... #Differential #Diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... Initial workup: • EKG ... , PT. aPTT • Serial