Visual Wednesdays: Aortic Stenosis
Visual Wednesdays from Walid Malki is back with aortic stenosis!
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Cardiology
EM@3AM: Aortic Stenosis
An 83-year-old female presents to the ED with dyspnea at rest following a syncopal episode. Patient reports she was out for a walk with her husband when she began to feel lightheaded, short of breath, and then fainted. Triage vitals include BP 88/50, HR 115, RR 24, O2 98%. ECG is without signs of acute ischemia. On exam, the patient appears slightly tachypneic, with rales noted at bilateral lungs. There is a systolic murmur along with 2+ pitting edema at the lower extremities. Cardiac POCUS shows grossly decreased left ventricular EF with a hyperechoic structure at the aortic valve. What is the most likely diagnosis?
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The EM Educator Series: Heart Failure and Flash Pulmonary Edema
The EM Educator returns with a look at heart failure and flash pulmonary edema!
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52 in 52 – #25: Association of Rivaroxaban vs. Apixaban With Major Ischemic or Hemorrhagic Events in Patients With Atrial Fibrillation
The 52 in 52 series returns with #25,w which looks at risk of major ischemic or hemorrhagic event with rivaroxaban versus apixaban.
Journal Feed Weekly Wrap-Up
Journal Feed rings in the new year with CT for SAH, calcium for PEA, and oxygenation targets in critical care.
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52 in 52 – #15: Terminal QRS distortion is present in anterior myocardial infarction but absent in early repolarization
52 in 52 covers terminal QRS distortion in determining benign early repolarization versus ischemia.
ECG Pointers: 7 Can’t-Miss ECG Patterns of High-Risk Syncope – the “ABCDE Left Right” Mnemonic
What should you look for on the ECG in the patient with syncope? Matthew Christensen and Kristy Schwartz bring you “ABCDE Left Right”.
EM@3AM: Mitral Regurgitation
A 63-year-old male presents to the ED complaining of sudden onset shortness of breath for the past 2 hours. He has a history of CAD, HTN, and T2DM He states that he has been compliant with his medications. BP 97/68, HR 108, RR 21, 92% RA. Physical exam is notable for a holosystolic murmur most prominent over the apex and radiating to the axilla, mild bibasilar rales, JVD, and 2+ lower extremity pitting edema. What is the most likely cause of this patient’s symptoms and what are the next steps in management?
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Pediatric Small Talk – Heartache When Kids Don’t Thrive: Finding the 1 in 100,000
What do you need to know about pediatric cardiomyopathy and heart failure?
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Ultrasound G.E.L. – Return of the Aortic Dissection
We are making some headway in the evidence behind using point-of-care ultrasound in aortic emergencies.
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