The Speaking Cardiologist, simplifying medicine through storytelling. Former stutterer helping medical teams communicate clearly. Board Certified. #ECGs#MedEd
@craigbrockie You sound so convinced [*powerful, *fixes, *wonders] in the hook, but subdued in your comments.
That's 100% dissonance, meaning you're not being honest first with yourself...
@Waiheke42@GenoVeno73@realDonaldTrump The U.S. is NOT a democracy... it's a constitutional republic, that incorporates some democratic principles (like voting), but avoids pure majority rule.
46 yo male, chest pain 3 hours since start. This is the first ECG in the ER... They decide to wait for troponin. What are your findings? Do you agree with the strategy?
Remember 5 types of MI with 5”S”
Type 1: Spontaneous. (Plaque)
Type 2: Supply: Demand mismatch
Type 3: Sudden cardiac death
Type 4; Subsequent to PCI,ST,restenosis
Type 5: Subsequent to CABG
True vs. Pseudoaneurysm – A Post-MI Complication You Must Know!
After a myocardial infarction (MI), the weakened ventricular wall can develop an aneurysm. But is it true or pseudo? The difference is critical!
🔴 True Aneurysm:
✅ Involves all layers of the myocardium (scar tissue)
✅ Has a wide neck with tapered edges
✅ Forms gradually, usually in the LV apex
✅ Low risk of rupture but can cause LV dysfunction & thrombus formation
⚠️ Pseudoaneurysm (a ticking time bomb!):
❌ Lacks myocardial layers—it's a contained rupture
❌ Has a narrow neck with abrupt edges
❌ Forms due to free wall rupture, held by pericardium
❌ High risk of rupture—needs urgent surgical repair!
🚨 Clinical Tip: A pseudoaneurysm is an emergency, while a true aneurysm is usually managed based on symptoms. Echo, MRI, or angiography can help differentiate them!
#Cardiology #MyocardialInfarction #echocardiography #MedX
International standard values are derived from textbooks
Self-Conduction system and Time limit
SN ~ atrial 30ms
SN ~ AVN (50ms, 70ms, 90ms)
SN ~ His 160ms
SN ~ BB 180ms
SN ~ Purkinje's 200ms
PhysioSign USA
#ecg#ekg#ep#cardiology#electrophysiology