18 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... period without chest ... Serial EKGS in pts ... #Diagnosis #Cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
pain ECG: non ... leads Cardiac MRI ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
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Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... #Management #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Clinical • Under-recognized ... support for patients clinically ... deteriorating on medical ... #management #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... Cardiomyopathy #HOCM #HCM #clinical ... echocardiogram #plax #cardiology
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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... had gained 15 kg ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
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Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... #clinical #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... Change in clinical ... one post op Cardiology ... and surgical management ... stratification #diagnosis