12 results
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... EKG: afib, twi I ... & aVL, poor rwp ... #Dissection #Aorta ... #Clinical #Ultrasound
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Non-ischemic EKG ... , nl CXR. ... What's the Diagnosis ... #Echocardiogram ... PLAX #Clinical #Ultrasound
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... includes ACS vs ... • Classic EKG ... #AVR #leadAVR #ecg ... #ekg #differential
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... be present in all ... patients) stage 4 - ECG ... indefinitely inverted #Diagnosis ... #EKG #Pericarditis
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... within the atria (e.g ... • Lateral (I + aVL ... @AmyChung #EKG ... Interpretation #ECG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... dissection, PE, ... wave inversion in avL ... #Ischemia #ECG ... #EKG #diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic ... dissection • ... Initial workup: • EKG ... • Bedside ultrasound ... • CXR • CBC
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... last week, with CP ... EKG: nsr, TWI v1 ... What's his diagnosis ... Resolution: ACS.
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
, not in aVL • ... , not in aVL, when ... lateral leads (I, aVL ... #cardiology #ecg ... #ekg #electrocardiogram
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... getting 12 lead ECG ... Note akinesia of anterior ... #ultrasound #Cardiology