14 results
Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... on EKG - Dr. ... Embolism #AcutePE ... #EKG #clinical ... #ecg #electrocardiogram
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... in relation to ECG ... #EKG #Pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
History and Exam Acute ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... disease or CHF) ... Control rate (e.g ... disease or CHF) ... #algorithm
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Disease • Acute ... Embolism ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... level <100 pg/ml EKG ... ischemic changes CXR ... embolism • Re-expansion ... differential #diagnosis #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF ... #HeartFailure #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... and hematuria, + RF ... diagnosis #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... QRS complex Pulmonary ... Embolism: • T-wave ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... and hematuria, + RF ... Differential #Diagnosis #cardiology