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diagnosis ecg electrocardiogram equivalents algorithm cardiogenic detroit evaluation initiative interpretation management perioperative preop preoperative risk shock stratification
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... TIMI III flow in all ... Shock #Algorithm #DCSI ... Initiative #Management #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... of the leads l, aVL ... deviation) • Acute ischemia ... #differential # ... cardiology #electrocardiogram
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC ... Obtain EKG if: ... indication of AC ... one post op Cardiology
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