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

#ECG

STEMI

#ECG

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

Canon A waves

Associated with complete heart block.
Notice the relatively slow HR.

Lancisi’s sign (cv fusion)

associated é Severe Tricuspid regurgitation

Note Venous vs Arterial pulses

Kussmaul's Sign

- paradoxical increase in CVP during inspiration due to inadequate filling (or emptying) of the RV

DDx:
- Constrictive Pericarditis
- Restrictive Cardiomyopathy
- RV Failure (Right-sided MI / PE / severe Pulmonary HTN)
- Acute Pericardial Effusion
- Local tumor
- TS

Abnormalities of the jolugular venous waveforms & related diseases

#pocus #v_scan #Echo

Lung