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diagnosis ekg management ecgeducator electrocardiogram differential inferoposterior knee myocarditis syndrome artery barre catheterization cathlab disease em equivalents guillain inferior interpretation
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Unstable/cardiogenic ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... TIMI III flow in all ... Initiative #Management #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... wave inversion in avL ... #Ischemia #ECG ... electrocardiogram #cardiology
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
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 Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... Diagnosis #Management #Cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... failure <3 rnonths, Cardiogenic ... Paraclinical assessment: EKG ... Diagnosis #Causes #cardiology ... #MRI
STEMI with Tombstones and Shark Fins Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... this you must act ... @EM_RESUS #STEMI ... Tombstones #SharkFins #ecg ... #cardiology #clinical
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... Biphasic T-wave in aVL ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... of the leads l, aVL ... #Equivalents #ECG ... #differential #cardiology
Wraparound LAD STEMI on EKG 47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... The mother of all ... Wraparound #LAD #STEMI ... #EKG #clinical ... #cardiology #electrocardiogram
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