18 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... : • EKG • Bedside ... , PT. aPTT • Serial ... troponin; HEART score ... • PERC; Well score
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
despite intensive medical ... low (1-2) risk, +ECG ... changes or troponin Medical ... Rx: NSTEMI/UA: stable ... catheterization #cardiology
Replacement Heart Valves - Mechanical and Bioprosthetic
Mechanical Valves:
 • Ball and Cage Valves: Hufnagel Caged Ball
Bileaflet Valves: St ... Jude Medical (1978 ... Bioprosthesis: (2002 ... Bioprosthetic #comparison #table ... #thoracic #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... arrythmias Diagnostics: EKG ... CT/MRI ($$$$) CORE ... Stress #Testing #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Diagnosis #Management #Workup
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... perioperative medical
To be eligible for hospice beneficiaries with Alzheimer’s disease must have a FAST Scale of greater
objects; subjective work ... complex tasks (e.g ... 7d: Unable to sit ... Pressure Ulcers, UTI ... #FAST #Stage #Score
Benign T-wave Inversion (BTWI) vs. Wellens'
 • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
precordium often has STE ... are generally stable ... Inversion #BTWI #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... diagnosis #management #cardiology
Rockwood Clinical Frailty Score

There is no single generally accepted clinical definition of frailty. Previously developed tools
Clinical Frailty Score ... occasionally, e.g ... – People whose medical ... so, they seem stable ... Frailty #Scale #Score