11 results
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... specific for a critical ... stenosis of the left anterior ... Classification #Types #Cardiology ... #Diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... becoming acute anterior ... #Wellens #Sign # ... #Diagnosis #Cardiology
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS (PLAX ... Non-ischemic EKG ... What's the Diagnosis ... Proximal aortic ... #PLAX #Clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ratio > 1 in V2 • Wellens ... chest pain • Wellens ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... STE in avR - Wellen's ... in avL - early inferior ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Anterior Akinesia ... Diagnosis? ... Hypokinesis #RWMA #PLAX ... Echocardiogram #ultrasound #Cardiology ... #clinical
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... EKG: nsr, TWI v1 ... What's his diagnosis ... Echocardiogram #Clinical ... #Cardiology #PLAX
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #cardiology #infectiousdiseases
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Change in clinical ... - Cataract Plan ... one post op Cardiology ... stratification #diagnosis