13 results
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... Elevation of PR segment ... indicates atrial injury ... patients) stage 4 - ECG ... #EKG #Pericarditis
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... patients with ST ... features of the EKG ... #EKG #ECG #STElevation ... #STSegment #Differential
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Subepicardial atrial injury ... • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... Pericarditis/Myocarditis ... depression in aVR ... #Elevation #differential ... #ecg #ekg #electrocardiogram
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... Findings: - AV ... (ST elevation), ... Low voltage Treatment
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... dissection, PE, peri/myocarditis ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord Injury ... Decompensated CHF ... Valve Disease, Myocarditis ... 3) UOP > 0.5 cc ... /kg/hr Sophia
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... elevation in aVR ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
microvascular injury ... segment changes ... segment changes ... on tele/ECG that ... tests in cath lab Treatment
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
. <1% Myocarditis ... 20-90%, normal ECG ... (RBBB; others: AV ... cardiomyopathy (→HF ... only available at CDC