13 results
Systolic Anterior Motion (SAM) of the Mitral Valve (MV)

Systolic anterior motion (SAM) describes the dynamic movement
Systolic Anterior ... towards the left ventricular ... Differential diagnosis ... MitralValve #MV #Cardiology ... #Clinical #POCUS
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... Management? ... #Systolic #Anterior ... Echocardiogram #ultrasound #Cardiology ... #PLAX #clinical
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Diagnosis Framework ... Narrow Complex Bradycardia ... SVT WI Wide QRS, Ventricular ... #Diagnosis #Management
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Anterior Akinesia ... Wide complex ... Diagnosis? ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... diagnosis includes ... tachycardia • Narrow complex ... Differentiating ventricular ... #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... V5-6 • Left Ventricular ... Pulmonary Embolism ... #diagnosis #cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... Diagnosis? ... Wide complex rhythm ... Note akinesia of anterior ... #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... Diagnosis? ... Wide complex rhythm ... Note akinesia of anterior ... Echocardiogram #ultrasound #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... Irregular wide-complex ... disease, left ventricular ... Fibrillation #AFib #diagnosis ... #management #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... inversions V1-V4 plus inferior ... Electrocardiogram #clinical #cardiology