aVF ecg pocus plax a4c

Echocardiogram and POCUS Cardiology Windows and Anatomy
• Parasternal Long Axis (PLAX)
• Subcostal 4 Chamber

Echocardiogram and POCUS ... Parasternal Long Axis (PLAX ... Apical 4 Chamber (A4C ... Apical 2 Chamber (A2C ... Echocardiogram #POCUS

POCUS Echocardiography - Table of Cardiac Views and Windows
• Parastemal Long-Axis View (PLAX)
• Parasternal

POCUS Echocardiography ... Long-Axis View (PLAX ... -Chamber View (A4C ... Aortic Valve (AV ... Doppler #Anatomy #POCUS

Atrial flutter with AV block on Echocardiogram

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Atrial #Flutter #PLAX #psax #Echocardiogram #clinical

Atrial flutter with AV ... Atrial #Flutter #PLAX ... #psax #Echocardiogram ... clinical #cardiology #pocus

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Myocarditis on Echocardiogram
It is always great to witness the tremendous reversal of severe biventricular dysfunction from

#Myocarditis #plax ... #psax #a4c #Echocardiogram ... clinical #cardiology #pocus

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Echocardiogram images with outlined regional wall motion abnormality territories of A) PSLAX B) PSAX, and C)

territories of A) PSLAX ... B) PSAX, and C) ... A4C. ... Diagnosis #Cardiology #POCUS

Lymphoma infiltration in mitral valve on Echocardiogram
A case from my archive... interesting. Lymphoma infiltration in mitral

Echocardiogram #clinical #pocus ... #plax #psax #a4c

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Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%

Echocardiogram A4C ... ECG with anterolateral ... Echocardiogram #A4C ... occlusion #clinical #pocus

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Ventricular Parasystole on EKG

Normal AV conduction depolarizes the ventricle before the parasystolic focus fires

- Dr. Eric

Parasystole on EKG ... Normal AV conduction ... the parasystolic focus ... #Parasystole #EKG ... #ECG #electrocardiogram

TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat

Dissection on POCUS ... EKG: afib, twi I ... & aVL, poor rwp ... Dissection #Aorta #POCUS ... Clinical #Ultrasound #PLAX

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Apical 3-Chamber (A3C) View - Regional Wall Anatomy on POCUS Echocardiogram

The apical 3-chamber has essentially the

Apical 3-Chamber (A3C ... Wall Anatomy on POCUS ... infero-lateral (As seen in PLAX ... UAlberta_Sono #A3C ... Wall #Anatomy #POCUS

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Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"

Imaging Plane, e.g ... ., LAX, SAX, or4C ... Structures Visualized, e.g ... Aortic valve (AV ... #Nomenclature #POCUS

Ventricular Fibrillation on Echocardiogram (A4C)
Rare glimpse of echocardiogram just at the onset of VF, no organized

Echocardiogram (A4C ... at the onset of VF ... clinical #cardiology #POCUS ... Echocardiogram #A4C

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Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.

Dissection on POCUS ... (PLAX view) ... Non-ischemic EKG ... Echocardiogram #PLAX ... Clinical #Ultrasound #POCUS

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Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral

Endocarditis on POCUS ... #POCUS give you ... #Endocarditis #POCUS ... clinical #cardiology #a4c ... #plax

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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).

Pulmonary Embolism on POCUS ... Triage EKG (no prior ... See thread for POCUS ... POCUS (apical window ... Echocardiogram #A4c

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Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning

Abnormalities on POCUS ... ECG with concerning ... #Abnormality #POCUS ... clinical #cardiology #PSAX

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Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX
2. Zoom to

Measurement on POCUS ... Obtain PLAX 2. ... Obtain A5c view ... #Measurement #POCUS

Fine Ventricular Fibrillation on POCUS Echocardiogram (S4C) with Saline Contrast
POCUS may help you to spot fine

Fibrillation on POCUS ... Echocardiogram (S4C ... Saline Contrast POCUS ... you to spot fine VF ... Echocardiogram #s4c

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LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG. ED

Dissection on POCUS ... /Sept STEMI on EKG ... Artery #Dissection #POCUS ... Echocardiogram #PSAX

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Echocardiogram - Atrial flutter with AV block

- Dr. Ivan Stankovic
@Ivan_Echocardio

#Atrial #flutter #AVBlock #Echocardiogram #POCUS #Clinical #PLAX

Atrial flutter with AV ... Echocardiogram #POCUS ... #Clinical #PLAX ... #PSAX

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Myocarditis

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic

Pericarditis, Tamponade EKG ... Findings: - AV ... Aberrancy, VT/VF ... agent, steroids, AC

Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and

elevations in different ECG ... Flap #dissection #a4c ... #plax #Echocardiogram ... clinical #cardiology #pocus

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Dilated Coronary Sinus on POCUS Echocardiogram
Dilated CS can be mistaken as descending thoracic aorta. Know the

Coronary Sinus on POCUS ... Coronary #Sinus #POCUS ... Echocardiogram #PLAX ... anatomy #cardiology #a4c

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Pulmonary Embolism on ECG

Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).

Pulmonary Embolism on ECG ... Triage EKG (no prior ... See thread for POCUS ... leads (II, III, AVF ... Pulmonary #Embolism #ECG

Cardiac Fibroma on Echocardiogram (a4c)

32yo asymptomatic male referred to clinics due to a "funny" ECG.
Dx:

Echocardiogram (a4c ... due to a "funny" ECG ... Cardiac #Fibroma #a4c ... clinical #cardiology #pocus

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Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic

Echocardiogram (PLAX ... demonstrating ECG ... clinical #cardiology #pocus ... #PLAX #MMode #electrical

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Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer

Echocardiogram (A4C ... demonstrating ECG ... clinical #cardiology #pocus ... #a4c #electrical

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Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead

Anterior Akinesia on POCUS ... getting 12 lead ECG ... , POCUS performed ... ECG obtained. ... Hypokinesis #RWMA #PLAX

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Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found

Atrial Myxoma on POCUS ... Echocardiogram (PLAX ... the lab work, EKG ... Atrial #Myxoma #POCUS ... Echocardiogram #PLAX

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Type A aortic dissection on Echocardiogram

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#TypeA #aortic #dissection #aorta #Echocardiogram #plax #s4c

Echocardiogram #plax ... #s4c #clinical ... #cardiology #pocus

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Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window

echocardiogram #a4c ... #plax #pocus #airgap

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Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in

Echocardiogram (A4C ... ) ECG has been ... Echocardiogram #A4C ... clinical #cardiology #pocus

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Multi-chamber Myxoma in a case of Carney Complex (CC) on POCUS Echocardiogram
Carney Complex (CC) - characterized

Complex (CC) on POCUS ... CarneyComplex #CC #POCUS ... clinical #cardiology #a4c ... #plax

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Unexpected severe pericardial effusion in a patient with colon cancer and DVT. Never forget POCUS of

Never forget POCUS ... CasasolaGarcia #Clinical #POCUS ... PericardialEffusion #A4C ... #PSAX #Malignant

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Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be

event, follow ACC ... indicated • EKG ... Obtain EKG if: ... - Cataract Plan ... indication of AC

LV Pseudoaneurysm

• False “pseudo” aneurysm: rupture w/ blood contained *outside* wall layers. (case below)

• True aneurysm:

Ventricular #Clinical #POCUS ... #CardiacMRI #PSAX ... #A4C #Echocardiogram

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Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%

Circumflex STEMI on ECG ... how subtle an EKG ... in leads 1 and avl ... Circumflex #STEMI #ECG ... #POCUS

Point of Care Ultrasound - Probe Movements
SWEEPING:
Here we slide the probe along a slug trail of

to view it in LAX ... COMPRESSION: E.g ... Motion #Ultrasound #POCUS

Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between

territory] In PLAX ... echocardiogram #pocus ... #a4c

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Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!

Dissection on POCUS ... Echocardiogram STEMI on EKG ... Aortic #Dissection #POCUS ... cardiology #clinical #plax

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Cardiomyopathy in setting of Hyperkalemia on POCUS Echocardiogram
Hypotensive, suspected rhabo, ECG c/w hyperK.
Normalized post calcium &

Hyperkalemia on POCUS ... suspected rhabo, ECG ... #Hyperkalemia #POCUS ... Echocardiogram #clinical #psax

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Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical

alternans on the ECG ... PericardialEffusion #Clinical #POCUS ... Echocardiogram #PSAX

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Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer

Echocardiogram (S4C ... demonstrating ECG ... clinical #cardiology #pocus ... #S4C #electrical

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Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain. Normal work up including

Malignant RV Mass on POCUS ... Echocardiogram (PLAX ... including negative ECG ... POCUS done prior ... clinical #cardiology #PLAX

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Complete AV Canal Defect on Echocardiogram

Among pts with Pulmonary Arterial Hypertension, those with Eisenmenger syndrome have

Complete AV Canal ... Complete AV canal ... AVCanal #Defect #a4c ... clinical #cardiology #pocus

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Tamponade is paradoxical RV collapse during diastole. Sometimes it’s hard to tell if that’s happening by

cycle (in lieu of ECG ... Cardiac #Tamponade #PLAX ... Echocardiogram #POCUS

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Large Pericardial Effusion on POCUS

Good example of swinging heart in pre tamponade. Reason for electrical

Pericardial Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... Echocardiogram #A4C

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Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary

Abnormalities (WMA) on POCUS ... Echocardiogram (PSAX ... breath and ischemic EKG ... Abnormalities #WMA #POCUS ... Echocardiogram #PSAX

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Ventricular Fibrillation on POCUS - Apical 4 Chamber View

A 50-year-old woman with a history of cardiac

Fibrillation on POCUS ... #Fibrillation #POCUS ... cardiology #clinical #a4c ... #AV #Dissociation

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Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that

Abnormality on POCUS ... EKG: nsr, TWI v1 ... WMA #WallMotion #POCUS ... Clinical #Cardiology #PLAX

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Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-)
EM resident

EKG nonspecific, ... echocardiogram #plax ... #cardiology #pocus

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This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of

to focus on ... O: Obstructed AV ... atrioventricular (AV ... as first-degree AV ... the physician to focus

Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of

Hypokinesis on POCUS ... EKG unremarkable ... This was her EKG ... #Hypokinesis #POCUS ... clinical #cardiology #PSAX

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Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no

Fibrillation on POCUS ... POCUS helpful. ... getting 12 lead ECG ... , POCUS performed ... Fibrillation #VFib #PSAX

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Lambls Excrescences on Echocardiogram
An incidental finding in a young patient with polyneuritis - there is a

#Excrescences #psax ... #a4c #Echocardiogram ... clinical #cardiology #pocus

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Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.

with Tamponade on POCUS ... Echocardiogram - PLAX ... K 5.9 without EKG ... Cardiac #Tamponade #POCUS ... Echocardiogram #PLAX

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Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no

Fibrillation on POCUS ... POCUS helpful. ... getting 12 lead ECG ... , POCUS performed ... Fibrillation #VFib #S4C

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Takotsubo Cardiomyopathy on POCUS Echocardiogram

50's male CAP on Day 4 Zpak but worsening-fever, congestion, cough. BP

Cardiomyopathy on POCUS ... ECG Trop I 1.13. ... Why--POCUS of course ... Cardiomyopathy #POCUS ... ultrasound #Cardiology #a4c

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Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.

with Tamponade on POCUS ... Echocardiogram - A4C ... K 5.9 without EKG ... Cardiac #Tamponade #POCUS ... Echocardiogram #A4C

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Femoral Vein Stent Migration to Right Atrium on POCUS Echocardiogram

Pt 2mos s/p femoral vein stent presents

Right Atrium on POCUS ... (this pt had), AV ... #RightAtrium #POCUS ... Echocardiogram #S4C

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Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group

dominant pacemaker focus ... terminalis) or in AV ... sharp contrast to AV ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram

Double Orifice Mitral Valve in a young M w/ chest pain. Rare congenital anomaly of subvalvular

coarctation, bicuspid AV ... echocardiogram #pocus ... #PSAX

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Cardiac Standstill on POCUS during CPR

A 79yo male presents after being found unresponsive by his wife.

Standstill on POCUS ... pceff, no fine VF ... Cardiac #Standstill #POCUS ... Echoardiogram #ACLS #S4C

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A junctional escape beat is a delayed heartbeat originating not from the atrium but from an

from an ectopic focus ... somewhere in the AV ... fail to reach the AV ... because of SA or AV ... Clinical #MedStudent #EKG

Supportive & Palliative Care Indicators Tool (SPICT)

The SPICT is used to help identify people whose health

Plan care. ... (eg. ... or wishes to focus

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