8 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology ... #pocus
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... : WPW, ectopic atrial ... QT <300-360 ms: ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... support for patients clinically ... deteriorating on medical ... Serial TTE and close ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... stratification #diagnosis
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... What are the next POCUS ... : serial blood cultures ... , cardiac MRI, CT ... #clinical #cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
Echocardiogram Short-Axis ... : serial blood cultures ... , cardiac MRI, CT ... Echocardiogram #PSAX #clinical ... #cardiology