12 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... in the ACS patient ... ST-segment elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
Tamponade - Pericardial ... @SAlerhand #Cardiac ... #Diagnosis #Evaluation ... #Cardiology #Effusion ... Echocardiogram #Ultrasound
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or R/S>I STEMI Equivalents ... wave inversion in avL ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
atrial injury from pericardial ... : Differential diagnosis ... #AVR #leadAVR #ecg ... #electrocardiogram ... #diagnosis #ekg
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 ... #ECG #EKG #diagnosis ... #electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... TIMI III flow in all ... major epicardial
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Consider cardiac ... Other: Electrocardiogram ... Pharmacology: • ACE ... #heartfailure #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... exam Determine Cardiac ... one post op Cardiology ... postoperative cardiac ... stratification #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Prinzmetal's Angina: • Epicardial ... #differential #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... getting 12 lead ECG ... Echocardiogram #ultrasound ... #Cardiology #clinical