21 results
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... Embolism - Sinus ... V1 - Right atrial ... #Embolism #AcutePE ... #Diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... #EKG #Pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... on EKG - Dr. ... and Anterior Leads ... Embolism #AcutePE ... #EKG #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... week of becoming acute ... anterior wall MI ... Serial EKGS in pts ... #Diagnosis #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... , PT. aPTT • Serial
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Artery Disease • Stable ... Angina • Acute ... Arrhythmia • Atrial ... Embolism* • Pulmonary
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... cardiogenic shock (eg ... , acute valvular ... pressure) -right atrial ... #Differential #Table
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG ... #clinical #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... with multiple embolic ... block (+/- daily EKG ... #criticalcare #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... ↑ ESR, CRP • EKG