Ancient Cardiologist

Seguidor de Galeno, experto en sangrías y Teoría de los Humores. Lego a la posteridad mis reflexiones en papiro, pergamino y Selene.

[Ekaterina Stellbrink @StellEkaterina]

❓A common thing with confusing identity 😳🤔❓

[NephroPOCUS @NephroP]

Scary #echofirst image of the day 🚨
#POCUS #MedEd #FOAMed #FOAMcc
Source: Echo Res Pract. 2019 Jun; 6(2): R53–R63.

[Ancient Cardiologist @CorAntiquus]

@PabloIglesias @LocodlDividendo Eso, eso!. Los únicos rentistas buenos son los de los subsidios y demás ayuditas…

[Ancient Cardiologist @CorAntiquus]

Qué se puede concluir del registro Modo M color anterior?

[Ancient Cardiologist @CorAntiquus]

Aneurisma del septo interauricular al ritmo de flutter...
#CardioTwitter #Cardiology

[Ancient Cardiologist @CorAntiquus]

@isciverse @CASEfromASE Ruptured papillary muscle?

[Ancient Cardiologist @CorAntiquus]

@MCiardetti @EcgsOnly i think so

[Ancient Cardiologist @CorAntiquus]

@jvillacastin En cualquier caso, como antes de bisoprolol estaba asintomática, retiraría betabloqueantes, realizaría Holter para excluir otros trastornos del ritmo más serios y seguiría clínicamente.

[Ancient Cardiologist @CorAntiquus]

@jvillacastin Bigeminismo ventricular, pero con ondas P muy separadas: puede que los extrasistoles ventriculares conduzcan retrógradamente produciendo pausa compensadora, pero me parece más probable que se trate de EVs inducidos por bradicardia sinusal.

[Ancient Cardiologist @CorAntiquus]

@shreif3laa (the video seems to be recorded in real time)

[Ancient Cardiologist @CorAntiquus]

@shreif3laa atrial flutter

[Ancient Cardiologist @CorAntiquus]

ECG changes included negative T waves in V1-v3, RBBB with rsR' in v1 (with high voltaje terminal positive R') and S1Q3T3 pattern.

Thanks for your participation!

[Ancient Cardiologist @CorAntiquus]

79 y/o male with chest pain, troponin elevation (100ng/ml) and RBBB (see ECG below in the thread). Echocardiography show motion abnormalities.

#CardioTwitter #MedTwitter #ECG #EchoFirst

[Ancient Cardiologist @CorAntiquus]

Don't be fooled by troponins!. The patient had suffered a bilateral pulmonary embolism. ECG and echocardiographic abnormalities, as well as rise in troponin, were secondary to RV pressure overload.

[Ancient Cardiologist @CorAntiquus]

Echocardiogram shows RV dilatation with hipocinesis of the free wall and systolic flattening of IV septum. PSAP was indeed increased, but it would be too easy if i had told.

[Ancient Cardiologist @CorAntiquus]

Where is the culprit lesion?

[Ancient Cardiologist @CorAntiquus]

@leilii hypokalemia? hypomagnesemia?

[Ancient Cardiologist @CorAntiquus]

@clinica_sec El QT largo y las torsades se normalizaron en cuanto a la paciente se le implantó un marcapasos transitorio de urgencia.

[Ancient Cardiologist @CorAntiquus]

@clinica_sec Mensaje: cuidado con los neurolépticos en la anciana agitada con Alzheimer y bloqueo AV completo que ingresa en planta, que si no viene el Grinch!🐲🎄

Feliz navidad!!!

[Ancient Cardiologist @CorAntiquus]

@JaclynLarsenMed @EcgsOnly It would decrease heart rate, ie, increase RR interval. If atrial flutter, it would be now presenting 2:1 AV conduction. With vagal maneuvers, it might turn 3:1 or 4:1 so that you can see atrial F waves out of the T waves and QRS complexes.