14 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... ST elevation in ACS ... includes ACS vs ... aVR instead of ACS
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
last week, with CP ... EKG: nsr, TWI v1 ... What's his diagnosis ... Resolution: ACS. ... #Clinical #Cardiology
Good vs Bad CPR on POCUS TEE during Cardiac Arrest
POCUS TEE can be utilized intra-arrest to
Good vs Bad CPR ... intra-arrest to augment CPR ... KPSono @KpSono #CPR ... TEE #clinical #acls ... #echocardiogram
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis ... #algorithm #hematology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
diffuse STE, diffuse PR ... asymmetrical, similar or bigger ... wave inversion in avL ... - early inferior ... #EKG #diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... acid, Elevated Cr ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... While getting 12 lead ... ECG, POCUS performed ... Note akinesia of anterior
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... While getting 12 lead ... ECG, POCUS performed ... Note akinesia of anterior
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
She had gained 15 ... kg and swollen ... to workup right-heart ... (A) a dilated inferior ... expiration not meeting diagnostic
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Mass on POCUS Echocardiogram ... Normal work up including ... negative ECG, CXR ... & ED workup on ... #clinical #cardiology