32 results
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... V1 - Right atrial ... rotation - Atrial ... S1Q3T3 #Predictive #ECG ... #EKG #Findings
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... common finding) • Atrial ... also a result of atrial ... #EKG #Pulmonary
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... #Multifocal #Atrial ... #ECG #EKG #Management
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
oxygen dissolved in arterial ... hemoglobin in arterial ... oxygen content of arterial ... (e.g low cardiac ... #diagnosis #causes
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Pulmonary embolism ... #Embolism #ECG ... #EKG #Electrocardiogram
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
High altitude (eg ... embolus SHUNT ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
tachycardia (2) Atrial ... (3) SVTs - atrial ... (3) Multifocal atrial ... bradyarrhythmia #ECG ... #EKG #diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... , PT. aPTT • Serial
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Cause Injury By ... ↑ ESR, CRP • EKG ... Treat underlying cause