41 results
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
Supraventricular Tachycardia EKG ... Here’s a great ECG ... a 50-year-old lady ... #Cardiology #EKG ... #Clinical
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Fascicular Block on EKG ... axis deviation (LAD ... in leads I and aVL ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #ecg
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Checklist Evaluation ... - EKG & echocardiography ... Nephrotoxins (e.g ... channel blocker (eg
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Can be used in all ... Vasopressors #Inotropes #comparison ... #table #pharmacology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
STEMI - D1 of LAD ... isolated to I & aVL ... #Diagonal1 #ECG ... #EKG #Electrocardiogram ... #Cardiology #Clinical
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Unstable/cardiogenic ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... #Cardiology
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Book of Critical ... Vasopressors #Properties #Table ... Pharmacology #Effect #Management ... #Comparison #Inotropes