Nontraumatic Causes of Acute Chest Pain

Fill in the Historical features for each diagnosis. Diagnosis Historical features Examination findings Electrocardiogram Chest radiograph Additional tests Additional important information Acute coronary syndrome Nonspecific May detect signs of HF ST segment elevations, Q waves, new left bundle branch block are evidence of AMI Single ECG is not sensitive for ACS Prominent R waves with […]

ACS draft

Cardiovascular resources Gross Anatomy textbook Clinical Skills videos Library resources Pathophysiology of heart disease : a collaborative project of medical students and faculty. Leonard S. Lilly, ed. 6th ed., 2016. Source Garwood E, Kumar A, Moes G, Svahn J. Abdominal scar endometrioma mimicking incisional hernia. Surgical Rounds. 2007 August: 372–376. Previous Next Source Whooley PD, […]

Tachyarrhythmias and ectopy

https://youtu.be/fL5pOiHdunI In this video (scrub through the video to see chapters) 00:41 Review of basic principles 02:01 Practical arrhythmia summary 03:13 Normal HR, regular, and narrow QRS 06:18 Normal HR, irregular, and narrow QRS 09:55 Atrial flutter 12:58 Atrial fibrillation 15:23 Fast HR, regular, and narrow QRS 27:45 Fast HR, irregular, and narrow QRS 33:24 Normal HR, regular, and wide QRS 35:17 Normal HR, irregular, […]

Bradyarrhythmias

https://youtu.be/PQ4TtOWgvZ8 In this video (scrub through the video to see chapters) 00:32 Analyze, synthesize, manage 05:51 Fast? Slow? Irregular? 06:14 QRS Narrow? Wide? 06:38 Where are my P waves? 08:50 Normal HR, regular, and narrow QRS 09:55 Normal HR, irregular, and narrow QRS 14:32 Slow HR, regular, and narrow QRS 21:29 Slow HR, irregular, and narrow QRS 25:19 Normal HR, regular, and wide QRS […]

Basic principles of arrhythmias

https://youtu.be/9KfVgX35wTE In this video (scrub through the video to see chapters) 03:45 Basic principles of arrhythmias 07:33 Conduction block  and arrhythmias 08:35 Abnormal automaticity 10:28 Triggered activity 12:08 Summary of basic principles so far 14:05 Reentry 18:18 Rhythm strips

Arrhythmia syndromes

https://youtu.be/o9mg8ejmJ28 In this video (scrub through the video to see chapters) 00:07 Arrhythmia syndromes 00:54 Wolff-Parkinson-White syndrome 09:07 Long QT syndrome 15:12 Never trust the computer’s QT interval measurement! 16:46 Brugada syndrome 18:54 Short QT syndrome

ST segments

https://youtu.be/poZwjetjP1Q In this video (scrub through the video to see chapters) 00:06 ST segments 01:36 Pathophysiology of ST segment displacement 02:54 Causes of ST segment displacement 05:55 Early repolarization 07:40 Pericarditis 10:27 ST segment elevation myocardial infarction (“STEMI”) 17:45 Evolution of ischemic changes on the ECG 20:23 Miscellaneous causes of ST displacement

Bundle branch block

https://youtu.be/k2MpGA_75Fc In this video (scrub through the video to see chapters) 00:09 Bundle branch block 02:34 ECG diagnosis of bundle branch block 03:24 Ventricular depolarization in LBBB 06:43 Ventricular depolarization in RBBB 11:09 Causes of RBBB 13:00 Example of LBBB 15:14 Causes of LBBB 16:15 WiLLiaM MoRRoW 17:45 Left anterior hemiblock 19:28 Left posterior hemiblock

Hypertrophy

https://youtu.be/NligcQOt22M In this video (scrub through the video to see chapters) 00:09 Hypertrophy 01:49 Radiographic, echocardiographic, and pathological correlates 06:02 Atrial enlargement 12:36 Right ventricular hypertrophy 16:13 Left ventricular hypertrophy 22:28 Biventricular hypertrophy

Measuring axis

https://youtu.be/Eh36Z8_oHfI In this video (scrub through the video to see chapters) 0:50 The “vector” for the heart’s activity 03:24 The chest (precordial) leads 04:18 The vectors for the frontal plane leads 10:10 Determining axis: Method 1 (more precise) 12:38 Measuring axis: Method 2 (less precise) 15:18 P Wave axis 19:39 QRS axis