11 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... leads) RV Ischemia ... #Embolism #AcutePE ... #diagnosis #cardiology
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
GPA, IgA, MPA) Acute ... inflammation (e.g ... - Thrombus / Embolism ... : Cardiac (AF, LV ... #Diagnosis #algorithm
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
History and Exam Acute ... • Pulmonary embolism ... • Cardiac tamponade ... Initial workup: • EKG ... , PT. aPTT • Serial
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA Acute ... Infarction  Ischemic ... Symptoms  EKG ... Initiative #Management #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Culture (+): Acute ... /ischemic insult ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
ECG: AF. ... after admission: acute ... stenosis.Simultaneous embolic ... @odremanr #Atrial ... Transesophageal #Ultrasound #Cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Culture Positive: • Acute ... /ischemic insult ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
cardiac disease ... level <100 pg/ml EKG ... • Negative for ischemic ... • Pulmonary embolism ... differential #diagnosis #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... algorithm to determine ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology