May 5, 2014
April 28, 2014
Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454
Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077
Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377
April 21, 2014
You can find several more cases of STEMI vs. Pericarditis here!
April 14, 2014
7+ hours of video & 10 CME credits!
Want to go to Hong Kong?
is in Hong Kong on July 10, 2014
AV Blocks…the key to the diagnosis is the PR-interval!
- Lengthening of the PR = Mobitz I
- Constant PR = Mobitz II (Usually has wide QRS)
April 7, 2014
Check out our previous episodes on #Hypokalemia
March 31, 2014
- Sinus Tachycardia (only in 30-50%)
- SIQIII or SIQIIITIII, a.k.a. Rightward Axis (not sensitive or specific)
- New RBBB or incomplete RBBB
- Superventricular tachydysrhythmias
- Ventricular dysrhythmias
- ST-segment elevations or depressions
- New TWI’s, especially in anteroseptal +/- inferior leads = Acute Pulmonary Hypertension = PE until proven otherwise!
Check out more cases here, #PulmonaryEmbolism
March 24, 2014
7+ hours of instruction & 10 CME credits!
March 17, 2014
Rate and Rhythm
Ischemia & Infarction
Recognize abnormalities and consider the differentials that explain them
Short QT-Interval Differential
Hypercalcemia (STE is not uncommon)
March 10, 2014
First, make sure you are not missing an acute MI!
Do you remember the factors that strongly suggest STEMI? If not, review them here
STEMI patients commonly have ventricular arrhythmias and very rarely have atrial dysrhythmias
New onset atrial fibrillation or flutter in a patient with ST-elevation favors Pericarditis
Bainey KR, Bhatt DL. Acute pericarditis: appendicitis of the heart? Mayo Clin Proc. 2009;84(1):5–6. PMID: 19121246