12 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
and Workup Algorithm ... • Pulmonary embolism ... • Cardiac tamponade ... : • EKG • Bedside ... ultrasound • CXR
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Angiography or Cardiac ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... , h/o of cardiac ... #diagnosis #differential
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... other causes of cardio-pulmonary ... also a result of atrial ... in relation to ECG ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Prosthetic valve • Congenital ... Libman Sacks) • Atrial ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #management #cardiology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... • Provoked (e.g ... - No other workup ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Differential Diagnosis ... Prosthetic valve • Congenital ... Libman Sacks) • Atrial ... via ASD • Metastatic ... ↑ ESR, CRP • EKG
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... exam • 12-lead ECG ... Nonarrhythmic Cardiac ... #Palpitations #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
heart disease • Congenital ... • Pulmonary embolus ... timing with Cardio-OB ... Serial TTE and close ... follow-up with Cardio-OB
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
❹ Insert intra-arterial ... Obtain 12-lead ECG ... cardiology if percutaneous ... Intraoperative #Checklist #Diagnosis ... #Management #Workup