S1Q3T3 is a classic but uncommon ECG finding in Pulmonary Embolism.

#ECG

Hypertrophic Obstructive Cardiomyopathy HOCM :

Avoidance of nitrates, diuretics, and angiotensin-converting enzyme (ACE) inhibitors

Wellen's syndrome:

- critical ischaemia of the left anterior descending artery.

- biphasic T waves in the anterior leads
or
- deep symmetrical T wave inversion in leads I and aVL associated with 1mm ST elevation in the chest leads.

#ECG

RBBB +
left anterior or posterior hemiblock+ 1st-degree heart block
=
trifasicular block

If symptomatic = Pace Maker

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Ventricular tachycardia:

Drug therapy:

1. amiodarone: ideally administered through a central line
2. lidocaine: use with caution in severe left ventricular impairment
3. procainamide

#ECG

Posterior STEMI is suggested by the following changes in V1-3:

1. Horizontal ST depression
2. Tall, broad R waves (>30ms)
3. Upright T waves
4. Dominant R wave (R/S ratio > 1) in V2

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STEMI

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angioedema: may occur up to a year after starting ACE inhibitors .

Ivabradine use => visual disturbances including phosphenes and green luminescence.

Correlation between IVC diameter plus CI and CVP

Acute Respiratory Distress Syndrome (ARDS) ....

most details in one page

Beta-blocker should not be prescribed with verapamil .

may precipitate severe bradycardia

Digoxin dose should be decreased by 25% to 50% when initiating amiodarone.

Amiodarone, verapamil, quinidine and propafenone may increase serum levels of digoxin.

Acute pericarditis:

PR depression is the most specific ECG marker for pericarditis.

#ECG

The combination of amlodipine and and ACE inhibitor is associated with lower risk of peripheral oedema compared to amlodipine monotherapy.

McConnell's Sign

One of the most distict echo findings in patients é acute PE

Normal jugular vein waves 👆👆

Abnormal jugular vein waves 👇👇

Giant a wave (large a wave)

associated é Tricuspid stenosis , right atrial myxoma , PH or pulmonary stenosis