21 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
'widow maker' lesion ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Rhythm (AIVR) on EKG ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... deWinter T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
lateral leads, also diagnostic ... of STEMI. ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
MI in LBBB or Pacemaker ... Criteria - Suspect STEMI ... #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
Cortical Desmoid - MSK Radiology
Imaging Findings:
 • Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Cortical Desmoid - MSK ... Radiology Imaging ... #mri #clinical ... #Radiology #diagnosis ... #msk
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
500 DANGER - Short ... QT <300-360 ms: ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Osteochondral Lesion of the Talus - MSK Radiology
Imaging Findings:
 • Typical location of the osteochondral defect
Radiology Imaging ... defect along the medial ... #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... ) EM resident ... elevated LVEDP ==> MRI ... Cardiomyopathy #HOCM #HCM #clinical ... echocardiogram #plax #cardiology