Discover and read the best of Twitter Threads about #ecg

Most recents (3)

#PregnancyCardiology Primer courtesy of a fantastic lecture by Dr. Sabrina Phillips from Mayo Clinic. Follow the thread #ACCFIT s for a good overview of considerations. #FelllowsFirst #MedEd

How does plasma volume and erythrocyte volume change during pregnancy? 1/12
#PregnancyCardiology Primer

Other important factors in the cycle of volume expansion and decreased SVR
2/12

#FellowsFirst #ACCFIT
#PregnancyCardiology

Cardiac Output changes in Pregnancy

3/12

#FellowsFirst #ACCFIT
Read 12 tweets
#FITSurvivalGuide #ACCFIT
Topic - Ventricular Tachycardia!

Agenda:
1- Approach to evaluating #VT
2- Management of #VT
3- Practice Cases

Please share your thoughts & input to this #tweetorial!

@ACCCardioEd @ACCinTouch #FOAMed @MichiganACC
#FITSurvivalGuide #ACCFIT
1/10 – Ventricular Tachycardia
Simplified approach to evaluate tachycardia:
Rule #1 – If HD unstable ➡️ shock!

If HD stable, sit down & think.
Step # 1 - QRS: wide or narrow?
Step # 2 - Rhythm: regular or irregular?

This will narrow DDx!
#FITSurvivalGuide #ACCFIT
2/10 - Wide complex tachycardia

Always consider clinical Scenario!
Look for history of MI and cardiomyopathy ➡️ strongly favor #VT!

* If structural heart disease is present, you will be correct 9/10 times with diagnosis of VT!
Read 26 tweets
1/10 #STEMI from ruptured plaque, less plaque erosion. @BraunwaldEugene pic demonstrates LDL oxidized, glycated➡️cytokines release express adhesion molecules➡️monocytes roll, diapedesis➡️ingest LDL, become foam cell➡️SMC migrate, proliferate➡️some apoptosis➡️plaque
2/10 Why #STEMI on #ECG
1. Diastolic current of injury: current away from relatively depolarized injury➡️TQ depression➡️normalized on ECG➡️ST elevation
2. Systolic current of injury: current towards injury due to early repol➡️ST elevation
Read 19 tweets

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