22 results
Cannon A Waves on Neck Examination

Cannon a waves! Notice that it occurs randomly, not predictably w/
predictably w/ the cardiac ... dual-chamber PPM set ... #PhysicalExam #JVP ... #Clinical #Video ... #Cardiology
Cannon A Waves
 • Caused by atrial contracting against a closed tricuspid valve
 • Atrioventricular dissociation
Caused by atrial ... activation from SVT ... (e.g., junctional ... AWaves #diagnosis #cardiology ... #CVP
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... that’s called “clinical ... #PhysicalExam #JVP ... #Cardiology #Neck
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
case of a 50-year-old ... palpitations Her heart ... consistent with SVT ... #Cardiology #EKG ... #Clinical
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Digoxin is a cardiac ... rate control) - Heart ... : - Scooping ST ... #Cardiology #Digitalis ... #ECG
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
fall of mean #JVP ... , severe right heart ... failure, right sided cardiac ... #PhysicalExam #clinical ... #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Nonarrhythmic Cardiac ... Arrhythmias: • SVT ... & termination: SVT ... #Palpitations #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Clinical: Dyspnea ... Physical Exam: ↑JVP ... Endomyocardial: Carcinoid Heart ... #differential #cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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inability of the right heart ... and other rarer causes ... of right-sided HF ... #physicalexam #clinical ... #video #jvp #cardiology
Yamaguchi cardiomyopathy on Electrocardiogram (EKG)
That time when a doctor tells you that you're "having a heart
you're "having a heart ... unwell when in SVT ... Cardiac MR shows ... #hypertrophic #clinical ... #cardiology