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ECG Case: STEMI vs Pericarditis

Amal Mattu

Watch this video to learn how to distinguish between those two diagnosis

views: 3469 comments: 1

ECG Case: Atrial Flutter

Amal Mattu

Consider AFl when ventricular rate is around 150 (plus or minus 20) Look for P-waves in lead V1 to make the right diagnosis

views: 3097 comments: 0

Atrial Septal Defect With Chiari Network...

maged al ali

TTE subcostal view shows atrial septal defect and Chiari network. Video by Maged Al Ali MD.

views: 2981 comments: 0

Atrial Septal Defect With Chiari Network...

maged al ali

TTE modified apical view shows atrial septal defect and Chiari network. Video by Maged Al Ali MD.

views: 2329 comments: 0

Multiple Rhabdomyomas (2)

maged al ali

TTE short axis view shows rhabdomyomas in a 3 months old girl with tuberous sclerosis. There are multiple locations of the tumor: LV, LVOT (causing subaortic stenosis) and RV and RVOT. Video by Maged...

views: 2128 comments: 0

Multiple Rhabdomyomas

maged al ali

TTE four chamber view shows rhabdomyomas in a 3 months old girl with tuberous sclerosis. There are multiple locations of the tumor: LV, LVOT (causing subaortic stenosis) and RV and RVOT. Video by Maged...

views: 2351 comments: 0

3D Medical Animation - Deployment of Artificial...

Scientific Animations

This 3D medical animation illustrates the process of deploying an artificial heart valve using an angiographic catheter. For more information and 3D medical animations visit us at www.scientificanimations.com.

views: 1515 comments: 0

ECG Case: Hypertrophic cardiomyopathy

Amal Mattu

A case of a patient with hypertrophic cardiomyopathy. ECG abnormalities: -high left ventricle voltage -left atrial enlargement -tall R wave in V1 -deep narrow Q waves in inferior, lateral...

views: 2655 comments: 0

ECG Case: Polymorphic Ventricular Tachycardia

Amal Mattu

Watch the video to see what do you have to look for in an ECG of a patient with syncope. Find out why this young patient lost his consciousness. How to treat polymorphic VT?

views: 2246 comments: 0

ECG Case: CNS disease

Amal Mattu

ECG findings in patients with elevated intracranial pressure: Diffuse T-wave enlargement and inversions Brady- and tachydysrhythmias Non-specific ST changes ST changes mimicking ischemia

views: 2658 comments: 1

ECG Case: Regular Wide Complex Tachycardia

Amal Mattu

Your first thought is VT? Look how wide are those QRS complexes. In case of such wide complexes you should first think of toxicologic and metabolic causes (hyperkalemia & severe acidosis)

views: 876 comments: 0

ECG Case: MI in Paced Rhythm

Amal Mattu

It possible to diagnose MI in paced rhythms, you just need to use Sgarbossa’s criteria: 1. STE ≥ 1mm concordant with QRS deflection in any single lead 2. STD ≥ 1mm in V1, V2, OR V3 that is concordant....

views: 2725 comments: 0

ECG Case: Pulmonary Embolism

Amal Mattu

ECG findings in Pulmonary Embolism: -Sinus Tachycardia (only 30-50%) -SIQIII or SIQIIITIII , a.k.a. Rightward Axis (not sensitive or specific) -New RBBB or incomplete RBBB -Superventricular...

views: 2626 comments: 1

ECG Case: Wide Complex Tachycardia

Amal Mattu

Differential for regular wide complex tachycardia Ventricular Tachycardia!!!!! - this should be always your first suspicion SVT, atrial flutter or sinur tachycardia with aberrant conduction Look...

views: 2231 comments: 0

ECG Case: WPW Syndrome

Amal Mattu

WPW triad Short PR interval Widened QRS (>120ms) Delta wave (but: not always present!)​

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ECG Case: Deformed T-waves

Amal Mattu

Always look for P-waves. They might be buried in T-waves or QRS complexes. Their presence and correlation with QRS complexes is important in differential diagnosis of brady- and tachyarythmias.

views: 2191 comments: 0

ECG Case: Complete Heart Block

Amal Mattu

Look carefully for the P-waves or you will miss the proper diagnosis! Little blimbs that you see in lead II are regular - those are the P waves. There is no relation between them and QRS complexes which...

views: 2289 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE parasternal long axis view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 1798 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE parasternal short axis view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 1683 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE modified four chamber view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 1325 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE color M-mode shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 1451 comments: 0

Mitral Stenosis In Different Aspects: Left...

maged al ali

TEE shows left atrial spontaneous contrast and a left atrial appendage thrombus in a case of mitral stenosis in atrial fibrillation. Video by Maged Al Ali MD.

views: 2303 comments: 0

Mitral Stenosis In Different Aspects: LA...

maged al ali

TEE shows spontaneous contrast in the left atrium and the left atrial appendage in a case of mitral stenosis in atrial fibrillation. Video by Maged Al Ali MD

views: 1778 comments: 0

ECG Case: STEMI vs. Benign early repolarization...

Amal Mattu

Differential diagnosis for diffuse STE Large STEMI Pericarditis Early repolarization Ventricular aneurysm LBBB LVH Brugada syndrome Hyperkalemia To make a good diagnosis check:...

views: 5023 comments: 0

ECG Case: Inferior STEMI. What is the rhythm?

Amal Mattu

What we see in this ECG is a ST segment elevation in inferior leads which means inferior MI. In those patients always consider right ventricular and posterior MI. The computer called this sinus bradycardia....

views: 3178 comments: 0

Tumor-like Calcification Of The Mitral Annulus

maged al ali

Various echocardiographic views show tumor-resembling calcifications of the mitral annulus. Video by Maged Al Ali MD.

views: 2219 comments: 0

Left Ventricular Noncompaction

maged al ali

Left ventricular noncompaction or "spongy myocardium" is a rare congenital cardiomyopathy that can be diagnosed at any age. It is characterised by a thin, compacted epicardial layer and an extensive...

views: 3567 comments: 0

ECG Case: A normal variant - not Wellens...

Amal Mattu

There is a normal variant pattern, seen in young males, mostly African-Americans Look for fishhooked J-points, concave upward STE before a steep T-wave drop

views: 1089 comments: 0

ECG Case: Wellens Syndrome

Amal Mattu

T-wave abnormality in precordial leads (most specific in V2-V3, but can be also present in V4) -Type 1-deeply symmetric T-wave inversion -Type 2- biphasic T waves with terminal T-wave inversion...

views: 3571 comments: 0

Atrial Septal Aneurysm With Chaotic Movement...

maged al ali

Echocardiographic subcostal view shows atrial septal aneurysm and chaotic movement of the interatrial septum in a baby. Video by Maged Al Ali MD.

views: 1694 comments: 0

Atrial Septal Aneurysm With Chaotic Movement...

maged al ali

Echocardiographic apical four-chamber view shows atrial septal aneurysm with chaotic movement of the interatrial septum in a baby. Video by Maged Al Ali MD.

views: 2363 comments: 0

Sub Aortic VSD (2)

Narendra Chaudhari

Same case sort axis view at aortic level defect at 9 oclock position.

views: 1634 comments: 0

Sub Aortic VSD (1)

Narendra Chaudhari

21 year old lady c/o recurrent rti no complaints, loud systolic murmur at 3 rd intercostal space ekg -right axis deviation and rvh no other positive finding echo shows sub aortic vsd with 50 % over ridding...

views: 1747 comments: 0

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: 2696 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: 2932 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: 2863 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: 1330 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: 1826 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: 2903 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: 5928 comments: 0

ECG Case: Short QT interval

Amal Mattu

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

views: 1665 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: 2112 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: 2461 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: 1996 comments: 2

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: 2793 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: 1791 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: 999 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: 1639 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: 1755 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: 4795 comments: 1