19 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Type A Dissection ... Non-ischemic EKG ... What's the Diagnosis ... #Dissection #Aortic ... #Aorta #Echocardiogram
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 ... #Aortic #Dissection ... Clinical #Ultrasound
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
A Aortic Dissection ... STEMI on EKG ... - VCU Ultrasound ... #Aortic #Dissection ... #cardiology #clinical
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... patients) stage 4 - ECG ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ST elevation in ACS ... includes ACS vs ... aVR instead of ACS ... #AVR #leadAVR #ecg
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
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
= Biomarkers + ECG ... : Acute STEMI, Aortic ... dissection, PE, ... #Ischemia #ECG ... #EKG #diagnosis
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... within the atria (e.g ... @AmyChung #EKG ... Interpretation #ECG
Preoperative Risk Evaluation

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