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diagnosis cardiology afib anesthesia anesthesiology cardiac checklist complexes differential endocarditis evaluation fibrillation intraoperative ischemia perioperative premature preoperative pvc pvcs risk
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
inversion • Arrhythmias ... CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Checklist #Diagnosis #Management
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
• Myocardial ischemia ... Hypokalemia • Bundle ... • Underlying ischemic ... 300 = NSVT EKG ... capture of the atria
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Decompensated HF • New ischemia ... Common Sustained Arrhythmia ... wide-complex tachycardia: bundle ... AFib #diagnosis #management ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... CV disease - Arrhythmia ... medical and surgical management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
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