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diagnosis electrocardiogram differential equivalents neurology syndrome algorithm angina barre calculations cardiac cardiogenic catheter cathlab clinical dcsi detroit elevation encephalopathy equations
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 ... New/worsening MR ... low (1-2) risk, +ECG ... Indications #Cardiac #catheterization ... #cardiology
Wraparound LAD STEMI on EKG 47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... What's the culprit artery ... #STEMI #EKG #clinical ... #ecg
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... wave inversion in avL ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... after) the J point ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
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 ... DCSI #Initiative #Management ... #Cardiology
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
mortality in inferior MI ... RV dysfunction. e.g ... forward flow. e.g ... consumption) can lead ... catheter #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... • Epicardial artery ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
earlier than one after ... Electrodiagnostic studies (Ex EMG ... the underlying pathophysiology ... - Spinal MRI may ... Syndrome #diagnosis #management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
bone marrow or stem ... Etiology: • Pathophysiology ... circulation: MCA ACA ... • EEG: With persistent ... Syndrome #diagnosis #management
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