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diagnosis management algorithm syndrome electrocardiogram evaluation acs barre cad cardiogenic catheterization cathlab chestpain contiguous detroit diagram differential einthoventriangle elevation emergencymedicine
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... persistent rest angina ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... Treatment: ... #cardiology #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... TIMI III flow in all ... Shock #Algorithm #DCSI ... Initiative #Management #Cardiology
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... #EKG #diagram #Electrocardiogram ... #STEMI #Localization ... EinthovenTriangle #Cardiac ... EmergencyMedicine #Cardiology
Chest Pain / ACS Evaluation Algorithm Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... (+LR 2.6) - Cardiac ... - History - EKG ... diagnosis #Algorithm #cardiology ... #Angina
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... have fever - ACS ... lethargy, hematuria, cardiac ... unless worrisome EKG ... with tetany or cardiac
HFpEF and CAD Management Algorithm 1. Consider revascularization based on current guidelines for CAD and HFpEF* 2. Statins:
current guidelines (eg ... Angina: consider ... ranolazine if angina ... diet, exercise, cardiac ... Management #Algorithm #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Prinzmetal's Angina ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... Unstable Angina
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... bone marrow or stem ... Etiology: • Pathophysiology ... circulation: MCA ACA ... • EEG: With persistent
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