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diagnosis differential electrocardiogram antihypertensive bloodpressure contraindications elevation encephalopathy evaluation highrisk interpretation ischemia leadavr management medications neurology perioperative posterior preop preoperative
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 ... diagnosis includes ACS ... instead of ACS. ... #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
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
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
bone marrow or stem ... Etiology: • Pathophysiology ... Vascular narrowing on MRA ... circulation: MCA ACA ... • EEG: With persistent
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