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diagnosis differential ecg electrocardiogram algorithm criticalcare endocarditis shock treatment bradyarrhythmia bradycardia cardiogenic cardiomyopathy chf clinical dcsi detroit elevation embolism fibrillation
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... • At least 3 different ... • Hypoxia • Pulmonary ... #Cardiology #Diagnosis ... #ECG #EKG #Management
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary ... #diagnosis #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Atrial ... ) - 3 different ... P waves in lead ... #EKG #diagnosis ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Physical exam • 12-lead ... ECG • Limited ... Pheochromocytoma • Pulmonary ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Cardiac: • Valvular ... Noncardiac: • Pulmonary ... Irregular wide-complex tachycardia ... #diagnosis #management ... #cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... shock state) • Tachycardia ... EKG • Ensure ... Tamponade - Pulmonary ... >> Acute PE, Tension
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... QRS complex Pulmonary ... block; and sinus tachycardia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Culture (+): Acute ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... with presence of pulmonary ... Cardiac cath if ... differential #algorithm #management ... #cardiology #treatment
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