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An FIT Poem: Do You See That?
Do you see
That P wave; is that AFib
or something hiding in the T wave,
a deceiving premature atrial complex
I look
Do you see
the mitral valve's anterior leaflet
blithely high fiving the septum
in systole, the audacity
of that systolic anterior motion
I look harder
Do you see
that compression, but during only systole,
of the myocardial bridge
masquerading as severe stenosis
I answer
with a hesitant, silent head nod
to my unconvinced attending
Do you see
those variable V-V intervals
before those awkward pacing spikes;
it captures fine but isn't sensing
I wonder
in a room full of fellows,
does everyone see it but me?
Do you see
post-PVC
the spike and dome of an increased LVSP
with a narrow arterial pulse pressure
of that mouthful
Brockenbrough-Braunwald-Morrow
I take courage
and say, no, I don't.
Can you point it out again?
So that I can truthfully say
to myself, next time,
Yes, I do see it.
This article was written by Christine Shen, MD, a cardiology fellow at Scripps. Twitter: @iconsideritjoy.
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