Dr. Gerald Diaz @GeraldMD
23.5M 13.8K 7.2K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Tachycardia - Wide vs Narrow Complex, Regular vs Irregular rhythm table

#Diagnosis #Cardiology #EKG #ECG #WideComplex #Narrow
Tachycardia - Wide ... Irregular rhythm table ... #Diagnosis #Cardiology ... #EKG #ECG #WideComplex ... #Irregular #Table
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
Secondary to chronic lung ... β€’ Hypoxia β€’ Pulmonary ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Drive: β€’ Sinus Tachycardia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 β€’ ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... QT via long ST ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Interpretation Checklist ... cervical rib Check lung ... #Chest #XRay #CXR ... #radiology #diagnosis ... #pulmonary
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Increased pulmonary ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... velocities, PVF: pulmonary ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Grades #Criteria #Table
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... AV block 1ΒΊ - long ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... gallop β€’ Abnormal ECG ... cardiac death Management ... #Management #Cardiology
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (β‰₯ 3 episodes of VT/ICD therapies
of Ventricular Tachycardia ... cardioversion Stable ... Normal QTc β€’ Long ... #VTach #diagnosis ... #cardiology