17 results
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 ... Drive: • Sinus Tachycardia ... Changes • STE in aVR ... #EKG #Pulmonary
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... bradycardia • AV ... depletion • Pulmonary ... embolism • Pericardial ... #diagnosis #causes
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... Fibrillation AV ... Tamponade, pulmonary ... Cardiogenic #Shock #Differential ... #Diagnosis #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Probably AVnRT or AVRT ... with caution in pulmonary ... Treat underlying cause ... with caution in pulmonary ... Treat underlying cause
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... leads (II, III, AVF ... seen in 34% of cases ... #Embolism #ECG
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... Causes include: ... level <100 pg/ml EKG ... edema • Bowel ... embolism • Re-expansion
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... • AVNRT/AVRT ... Diagnosis #Algorithm #causes
Polymorphic ventricular tachycardia (PVT) is a form of ventricular tachycardia in which there are multiple ventricular
Polymorphic ventricular tachycardia ... of ventricular tachycardia ... The commonest cause ... #Clinical #MedStudent ... #Cardiology #EKG
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Edema (NCPE) - Differential ... volume, decreased bowel ... Embolism: • Acute ... multiple smaller emboli ... #differential #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(1) Sinus tachycardia ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential