15 results
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
• Typically anterior ... inferoseptal wall (inferior ... anteroapical (anterior ... poor prognostic signs ... #diagnosis #timeline
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior ... #EKG #diagnosis
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... Tamponade: pericardial effusion ... ventricles, dilated inferior ... Pathophysiology #Comparison #criticalcare ... #diagnosis #classification
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... in avL - early inferior ... #EKG #diagnosis ... Interpretation #differential
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... (A) a dilated inferior ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Differential/diagnosis ... See thread for POCUS ... inversions V1-V4 plus inferior ... Pulmonary #Embolism #ECG
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... #criticalcare #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... ECG is vital while ... #diagnosis #differential ... #algorithm #management ... heartfailure #chf #criticalcare
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Phos), CBC with differential ... Pyridostigmine - New diagnosis ... monitoring (vital signs ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... STE: "Pardee's sign ... anteroseptal and inferior ... #ecg #ekg #electrocardiogram