11 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
main coronary artery ... atrial injury from pericardial ... NPV = 95% 4. ... #electrocardiogram ... #differential #cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... After window, found ... Prats @PratsEM #Malignant ... echocardiogram #POCUS ... #cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... After window, found ... Prats @PratsEM #Malignant ... echocardiogram #POCUS ... #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
at (or 40-60 ms after ... discordant QRS complex ... #Equivalents #ECG ... #differential #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
or in-complete ... Prinzmetal's Angina: • Epicardial ... artery is episodically ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... Dialysis stopped after ... K 5.9 without EKG ... #Cardiac #Tamponade ... A4C #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... Dialysis stopped after ... K 5.9 without EKG ... #Cardiac #Tamponade ... PLAX #clinical #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
PCWP PULMONARY ARTERY ... CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... much as 40% in cardiac ... catheter #diagnosis #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... coronary artery ... Consider cardiac ... Other: Electrocardiogram ... diagnosis #management #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Cardiac: • Valvular ... Irregular wide-complex ... ventricular hypertrophy, pericardial ... diagnosis #management #cardiology