11 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... , but becomes ventricular ... or polymorphic ventricular ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Recurrent/persistent rest ... Sustained ventricular ... low (1-2) risk, +ECG ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... depression in VI-V2 - posterior ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Ventricular Fibrillation - Transesophageal echo
POC-TEE in cardiac arrest: Instant recognition of shockable rhythm during a pulse
Ventricular Fibrillation ... POC-TEE in cardiac arrest ... a pulse check (ECG ... Echocardiogram #POCUS ... #Cardiology #Clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... elevation in aVR • Posterior ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(4) SA node arrest ... Distal AV block - ventricular ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STElevation #ST #STEMI ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... male witnessed arrest ... getting 12 lead ECG ... RJonesSonoEM #Ventricular ... Echocardiogram #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... male witnessed arrest ... getting 12 lead ECG ... RJonesSonoEM #Ventricular ... Echocardiogram #ultrasound #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... supraventricular or ventricular ... tachycardia • Ventricular ... #Palpitations #Cardiology ... #Differential #