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diagnosis differential electrocardiogram management antihypertensive artery bloodpressure calculations cardiomyopathy catheter catheterization checklist chf contraindications elevation encephalopathy equations evaluation heart heartfailure
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation #Diagnosis #Cardiology #ECG
electrocardiogram in the ACS ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #Equivalents #HighRisk
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ST elevation in ACS ... instead of ACS. ... • Classic EKG ... #AVR #leadAVR #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 ... #STEMI #Equivalents
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... of the leads l, aVL ... #Equivalents #ECG ... #EKG #diagnosis
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... NSAlDs, ACE-inhibitors ... channel blocker (eg ... #HeartFailure #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
, not in aVL • ... , not in aVL, when ... lateral leads (I, aVL ... block; and sinus tachycardia ... #ecg #ekg #electrocardiogram
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 ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... • Avoid ARB/ACE-I ... hemodynamics (e.g ... LVEF recovery (e.g ... ., ACE/ARB) need
Compelling and Possible Contraindications to Antihypertensive Drugs Diuretics (thiazides) - Gout - Metabolic syndrome, Glucose intolerance, Pregnancy,
receptor antagonists (MRA ... ARB, diabetes) ACE ... dihydropyridines) - Tachycardia ... diltiazem) - AV ... Pgp-dependent drugs (e.g
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... indicated • EKG ... Obtain EKG if: ... indication of AC ... • <12mo since ACS
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