22 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... Equivalent - Left anterior ... depressions and tall ... DeWinter #TWaves #ECG
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... STEMI - Elevation ... aVR • Posterior STEMI ... #Equivalents #ECG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... in avL - early inferior ... infarct - New tall ... #Ischemia #ECG
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... V4 sit over the anterior ... leads, again; all ... #EKG #diagram #Electrocardiogram ... #STEMI #Localization
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... TIMI III flow in all ... DCSI #Initiative #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... voltage Other Causes ... STElevation #ST #STEMI ... diagnosis #cardiology #ecg
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... Restriction for all ... SIADH — look for cause ... hourly • Identify Cause ... #Hyponatremia #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... pack. ❸ Remove all ... as a possible cause ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Diagnosis and Management ... symptoms are not caused ... of diagnosis (e.g ... papules, nodules; anterior ... Sarcoidosis #Diagnosis #Management