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ECG Case: Evolving T-wave changes

Amal Mattu

If you have concerns of an ECG - get serial ECGs! T-wave changes can predict cardiac ischemia Wellens syndrome - Biphasic T-wave pattern in precordial leads can be specific for proximal LAD lesions

views: 1485 comments: 0

ECG Case: Brugada Syndrome

Amal Mattu

ECG Findings in V1-V3 -RBBB or Incomplete RBBB -Coved or Saddle type ST-segment elevation It is important not to miss this condition. Patients with Brugada syndrome can develope fast polymorphic...

views: 1259 comments: 0

ECG Case: The diagnosis of MI in LBBB &...

Amal Mattu

Sgarbossa’s criteria is used to diagnose MI in the setting of LBBB or paced rhythms. 1. STE ≥ 1mm concordant with QRS in any lead 2. STD ≥ 1mm in V1, V2, or V3 that is concordant. 3. Discordant STE...

views: 1308 comments: 1

Multiple Rhabdomyomas In Patient With Tuberous...

maged al ali

Echocardiographic parasternal long axis view shows rhabdomyomas in a 3 month-old girl with tuberous sclerosis. There are multiple locations of the tumors: left ventricle, left ventricular outflow tract...

views: 664 comments: 0

ECG Case: Irregular Narrow-Complex Tachycardia

Amal Mattu

Differential diagnosis for Irregular Narrow-Complex Tachycardia -Atrial Fibrillation No clear atrial activity -Atrial flutter with variable conduction Regular atrial activity around...

views: 901 comments: 0

ECG Case: Is it really Atrial Fibrillation?

Amal Mattu

If the rythm is regularly irregular it is not AF! Look for P-waves! What can it be? -Premature Atrial Complexes (groups of 2 -> atrial bigeminy, groups of 3 -> atrial trigeminy) -2nd Degree...

views: 829 comments: 0

ECG Case: Hyperkalemia & Bradycardia

Amal Mattu

ECG findings in Hyperkalemia -Peaked T-waves -Widening of the QRS -Prolonged PR -Flattening of P-waves -Advanced AV Blocks and sinus pauses ​-Pseudo ACS, new BBB’s, ST-segment...

views: 1962 comments: 0

ECG Case: Short QT interval

Amal Mattu

Causes of short QT-Interval -Digoxin Toxicity -Hypercalcemia -Congenital syndrome

views: 788 comments: 0

ECG Case: Prolonged QT-interval

Amal Mattu

Differential diagnosis for prolonged QT-interval: -Hypothermia -Hypokalemia (due to U-wave), Hypomagnesemia, & Hypocalemia -Acute coronary syndromes -Increased intracranial pressures...

views: 948 comments: 1

Endocarditis - Vegetation On The Pacemaker...

maged al ali

TEE shows a vegetation on the pacemaker lead and the anterior leaflet of the tricuspid valve. Video by Maged Al Ali MD.

views: 1145 comments: 0

Infective Endocarditis

maged al ali

TEE shows the vegetations and chordal rupture of both leaflets of the mitral valve with massive mitral regurgitation. Video by Maged Al Ali MD.

views: 1017 comments: 0

ECG Case: STEMI in Young Patient

Amal Mattu

​Differential diagnosis for ST-segment elevation: ​ -Large STEMI -Early repolarization ​​​ -Pericarditis -Myocarditis ​ -Ventricular aneurysm -LBBB -LVH -Brugada syndrome Early repolarization...

views: 1557 comments: 0

ECG Case: Patient with Chest Pain

Amal Mattu

All fatal causes of chest pain should be ruled out: -Acute Coronary Syndrome -Aortic Dissection -Pulmonary Embolism -Pericarditis/Tamponade -Tension Pneumothorax -Esophageal rupture Remember:...

views: 1034 comments: 0

ECG Case: Ischemic T-waves

Amal Mattu

Straightening of the initial upslope of the T-wave is a sign of early ischemia. Repeat ECG and look for the new changes to confirm the diagnosis. Watch the video to see the examples.

views: 520 comments: 0

Dissection Of The Ascending Aorta (2/2)

maged al ali

TEE shows aortic dissection type A involving one of the aortic cusps what may cause coronary malperfusion. Video by Maged Al Ali MD.

views: 816 comments: 0

Dissection Of The Ascending Aorta (1/2)

maged al ali

TEE color doppler shows aortic dissection type A involving one of the aortic cusps. Video by Maged Al Ali MD.

views: 914 comments: 0

ECG Case: Atrial Fibrillation with WPW

Amal Mattu

Characteristic ECG appearance of AF with WPW: -very rapid (even up to 300 bpm) -very irregular -changing QRS morphologies When misdiagnosed and threated with AV nodal blockers (like beta blockers...

views: 1487 comments: 1

ECG Case: WPW syndrome

Amal Mattu

Characteristic signs of pre-excitation syndrome in ECG: -Short PR interval -QRS more than 120ms -Delta wave Patients with this syndrome can suffer from 2 kinds of SVT: -Orthodromic SVT - conduction...

views: 781 comments: 0

Multiple Apical Ventricular Septal Defects...

maged al ali

TTE four chamber view shows multiple apical ventricular septal defects. Video by Maged Al Ali MD.

views: 599 comments: 0

Multiple Apical Ventricular Septal Defects...

maged al ali

TTE parasternal long axis view shows multiple apical ventricular septal defects. Video by Maged Al Ali MD.

views: 390 comments: 0

ECG Case: ST-elevation in aVR

Amal Mattu

Each time you see signs of ischemia in ECG look at aVR. If there is a ST-segment elevation there it signifies one of three serious conditions: -LMCA occlusion -proximalal LAD occlusion -triple vessel...

views: 1747 comments: 0

ECG Case: Pericardial Effusion

Amal Mattu

If you see in an ECG: -tachycardia -low voltage (QRS in leads I+II+III is less than 15mm) -electrical alternans (consecutive QRS complexes alternate in height) ...always consider pericardial effusion,...

views: 612 comments: 0

Apical Ventricular Septal Defect

maged al ali

Echocardiographic four chamber view shows apical ventricular septal defect. Video by Maged Al Ali MD.

views: 593 comments: 0

Hydatid Cyst In The Interventricular Septum...

maged al ali

Echocardiographic parasternal long axis view shows a very rare localization of hydatid cyst - intraventricular septum. Video by Maged Al Ali MD.

views: 574 comments: 0

ECG Case: New T-wave inversion in aVL

Amal Mattu

Lead aVL can show early reciprocal changes from an myocardial infarction before ST-elevation in inferior wall leads. New T-wave inversion in this lead should call our attention. Inverted T-wave in aVL...

views: 1301 comments: 0

ECG Case: Right Ventricular Infarction

Amal Mattu

Always consider Right Ventricular Infarction when dealing with an Inferior STEMI. Look for ST-depression in lead V2. If its correlated with ST-elevation in V1 or isoelectric ST-segments in lead V1 &...

views: 2206 comments: 0

ECG Case: Hypokalemia

Amal Mattu

T-wave inversion can be a sign of coronary ischemia, Wellens' syndrome, CNS disorder or hypokalemia. Watch the video to see what are the typical ECG signs of the last of those conditions.

views: 1025 comments: 0

ECG Case: Posterior STEMI

Amal Mattu

This video shows how not to miss posterior STEMI in 12-lead ECG with ST-depression in anteroseptal leads. Lecture by Dr. Amal Mattu

views: 1371 comments: 1

Hydatid Cyst In The Interventricular Septum

maged al ali

Echocardiographic four chamber view shows a very rare localization of hydatid cyst - intraventricular septum. Video by Maged Al Ali MD.

views: 684 comments: 0

ECG Case: Patient with syncope

Amal Mattu

While analyzing an ECG of a patient with syncope think of: Acute coronary syndrome Tachyarrhythmias Bradyarrhythmias and AV-blocks Short PR interval (pre-excitation, f.ex. WPW syndrome) Long / Short QT...

views: 958 comments: 2

ECG Case: Differential diagnosis of diffuse...

Amal Mattu

When you see an ECG with ST-segment elevation in multiple leads you should mainly think about large MI, pericarditis, early repolarization or ventricular aneurysm. This lecture shows you how to differentiate...

views: 859 comments: 0

ECG Case: Differential diagnosis of narrow...

Amal Mattu

This video shows you examples of atrial flutter with 2:1 conduction, which is very often misdiagnosed with sinus tachycardia. REMEMBER: -always look for P-waves (usually best seen in lead V1) -consider...

views: 806 comments: 2

Biventricular Noncompaction with Pulmonary...

maged al ali

This is an echocardiography of a baby with noncompaction cardiomyopathy and pulmonary hypertension. The subcostal view shows the atrial septal defect with right to left shunt. Video by Maged Al Ali MD.

views: 807 comments: 0

Biventricular Noncompaction with Pulmonary...

maged al ali

This is an echocardiography of a baby with biventricular noncompaction cardiomyopathy. A CW Doppler recording shows tricuspid regurgitation. Video by Maged Al Ali MD.

views: 568 comments: 0

Biventricular Noncompaction with Pulmonary...

maged al ali

This is an echocardiography of a baby with biventricular noncompaction connected with pulmonary hypertension and tricuspid regurgitation. The apical 4-chamber view shows multiple trabeculations with...

views: 894 comments: 0

Massive Pericardial Effusion With Cardiac...

maged al ali

Echocardiography shows very large pericardial effusion with tamponade. Right Atrium and Right Ventricle are collapsing, heart is swinging freely within pericardium. Video by Maged Al Ali MD.

views: 600 comments: 0

Calcified Bicuspid Aortic Valve

maged al ali

TTE long axis and short axis views show calcified bicuspid aortic valve. Video by Maged Al Ali MD.

views: 659 comments: 0

Ebstein's Anomaly In An Adult (2/2)

maged al ali

TTE apical view shows apical displacement of the tricuspid valve with atrialization of a part of the right ventricle. There is no shunt in this case. Video by Maged Al Ali MD.

views: 716 comments: 0

Ebstein's Anomaly In An Adult (1/2)

maged al ali

TTE subcostal view shows apical displacement of the tricuspide valve with atrialization of a part of the right ventricle. Video by Maged Al Ali MD.

views: 718 comments: 0

Lonely Elder Syndrome (new syndrome)
N/A

Lonely Elder Syndrome (new syndrome)

Sayed Sayed Sileem

A newly discovered psycho-somatic disorder affects old age people

views: 458 comments: 0

Cardiac complications in Marfan syndrom

maged al ali

This video shows an echocardiography of a patient with Marfan syndrome suffering from mitral valve prolapse with moderate mitral regurgitation, dilatation of the aorta and moderate LV dilatation. The...

views: 353 comments: 0

Dysfunction Of The Bioprosthetic Valve Due...

maged al ali

Echocardiographic parasternal long axis view shows the ruptured leaflet clearly moving toward the left ventricle in the diastole. Colour doppler recording shows severe mitral regurgitation (associated...

views: 1207 comments: 0

Dysfunction Of The Bioprosthetic Valve Due...

maged al ali

Echocardiographic apical four chamber view shows a leaflet rupture causing dysfunction of bioprosthetic mitral valve. Video by Maged Al Ali MD.

views: 519 comments: 0

Large Right Atrial Tumor (2/2)

maged al ali

Echocardiographic apical view shows the tumor filling the whole right atrium. Video by Maged Al Ali MD.

views: 769 comments: 0

Large Right Atrial Tumor (1/2)

maged al ali

Echocardiographic atypical parasternal view shows the tumor filling the whole right atrium and causes distortion of cardiac architecture. Video by Maged Al Ali MD.

views: 408 comments: 0

Ostium Secundum Atrial Septal Defect And...

maged al ali

This video shows ostium secundum atrial septal defect and muscular ventricular septal defect in the same patient. Video by Maged Al Ali MD.

views: 716 comments: 0

Cor Triatriatum (1/2)

maged al ali

Echocardiographic apical view with colour doppler recording in a baby shows intra atrial membrane with 2 jets through the membrane. Video by Maged Al Ali MD.

views: 897 comments: 0

Cor Triatriatum (2/2)

maged al ali

Echocardiographic continuous wave doppler recording illustrates the high diastolic velocity jets through the intra atrial membrane in patient with cor triatriatum. Video by Maged Al Ali MD.

views: 933 comments: 0

Transposition Of The Great Arteries, Ventricular...

maged al ali

TTE parasternal long axis view shows transposition of the great arteries. There is also a muscular ventricular septal defect with reverse shunt (bidirection) but prominently from the anterior ventricle...

views: 974 comments: 0