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management diagnosis differential electrocardiogram equivalents hyperkalemia neurology cad clinical encephalopathy epilepticus evaluation hfpef high inferoposterior interpretation ischemia mgh misread perioperative
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Pathologic Q - 1/3 ... deWinter T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... , often with 1-2 ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... II, III, & aVF 2. ... T’s 3. ... #EKG #STEMI #InferoPosterior
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Algorithm ECG ... injury, etc) ECG ... minutes, lasts -2 ... monitor glucose x 3 ... Remove potassium
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
bone marrow or stem ... Risk factors 3. ... on MRA/CTA • Anterior ... • EEG: With persistent ... 3 mEq/L • Seizures
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Functional status ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hemolyzed sample 2. ... TPN is infusing 3. ... Heart: • Order a STAT ... EKG to assess cardiac ... stabilize heart if EKG
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Treatment Protocol ... 100mg/min) 3) ... over 5 min (need EKG ... mg/kg/hr 2) Propofol ... #Protocol #algorithm
HFpEF and CAD Management Algorithm 1. Consider revascularization based on current guidelines for CAD and HFpEF* 2. Statins:
CAD Management Algorithm ... CAD and HFpEF* 2. ... contraindicated 3. ... current guidelines (eg ... #cardiology
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