21 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... #Embolism #AcutePE ... #diagnosis #cardiology ... #electrocardiogram
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... seen in 34% of cases ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Signs: hypotension ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cause Injury By ... Differential Diagnosis ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #management #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... in avL - early inferior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... ASA, Kussmaul's sign ... (A) a dilated inferior ... expiration not meeting diagnostic ... pocus #clinical #cardiology