17 results
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
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... presents with CP ... EKG: afib, twi I ... #Dissection #Aorta ... #Clinical #Ultrasound
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Sign - Type A Aortic ... Echocardiogram ... STEMI on EKG: ... - VCU Ultrasound ... #cardiology #clinical
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
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... Myocarditis - CAD/ACS ... Vascular: - Aortic ... dissection - ... #Causes #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation in ACS ... includes ACS vs ... aVR instead of ACS ... aVR • Classic EKG ... #cardiology
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... be present in all ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... Beside ultrasound ... dissection.- Michael ... Macias, EM Resident ... #Radiology #POCUS
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... dissection, PE, ... diffuse STE, diffuse PR ... #EKG #diagnosis ... electrocardiogram #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... Obtain EKG if: ... one post op Cardiology ... • <12mo since ACS ... stratification #diagnosis