ECG Cases 43 – ECG Interpretation in Shortness of Breath

In this ECG Cases blog we look at 10 patients with shortness of breath, and discuss how the ECG can be used to help diagnose cardiac, respiratory and metabolic emergencies. We discover that for STEMI/OMI vs subendocardial ischemia, we should look for STEMI(-)OMI, subacute OMI, and OMI in the presence of LBBB and RBBB, and consider the differential for diffuse ST depression with reciprocal ST elevation in aVR. For RV strain, acute vs chronic, we should look for signs of acute RV strain and chronic pulmonary hypertension. for low voltages we should consider pericardial effusion and other causes, and for hyperkalemia we should look for multiple signs of hyperkalemia as a guide for empiric calcium...

Ep 166 Pericarditis and Cardiac Tamponade

Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are the most common pitfalls in the ECG interpretation? What are the best ways to differentiate the ECG of pericarditis from that of MI and early repolarization? How is uncomplicated viral pericarditis treated differently compared to pericarditis with other etiologies? Why is it so important to include colchicine as part of the treatment of pericarditis? Which patients with pericarditis require admission? and many more...

POCUS Cases 6 Pericardial Effusion POCUS

In this POCUS Cases Dr. Simard reviews the literature on accuracy of POCUS for pericardial effusion diagnosis, compares and contrasts the two cardiac views for determining a pericardial effusion, explains how to distinguish between pericardial fluid vs epicardial fat and pericardial fluid vs pleural effusion, explains the findings of cardiac tamponade and electrical alternans, and reviews the false positives of pericardial effusion on POCUS...

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