10 results
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
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
pressure, obtain 12-lead ... ECG if possible ... hypovolaemia; primary cardiac ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Obtain a 12-lead ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Physical exam • 12-lead ... ECG • Limited ... Nonarrhythmic Cardiac ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ... ECG, chest X-ray ... o Aspiration, pulmonary ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
blood gas, 12-lead ... ECG, chest X-ray ... o Aspiration, pulmonary ... Intraoperative #Checklist ... Diagnosis #Workup #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
of a difficult airway ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... 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 ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
❹ Insert intra-arterial ... . ❺ Obtain 12-lead ... ECG and discuss ... with cardiology ... Intraoperative #Checklist