16 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... monitoring (Box ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
Hypertensive Emergency criteria ... hypertensive emergency (1) ... hypertension (e.g ... - Pulmonary edema ... #Algorithm #CriticalCare
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... small box wide, ... Miss Signs of Ischemia ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
1. ... predictor of recurrent ischemic ... aVR • Classic EKG ... #ekg #differential ... #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Causes include: 1. ... level <100 pg/ml EKG ... • Negative for ischemic ... #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
T-waves, often with 1- ... with R/S ratio > 1 ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... Cardiology cannot ... similar where Cardiology ... #diagnosis #algorithm ... #cardiology #echocardiogram
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... Cardiology cannot ... primary disturbance Cardiology ... similar where Cardiology ... #cardiology #clinica
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology