11 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
Patterns of Ischemia ... than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... #Ischemic #Ischemia
However, there are more kinds of ischemia than just STEMI and many of these can be
more kinds of ischemia ... than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #Mimics #FOAMCast
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
acute myocardial ischemia ... acute transmural ischemia ... to be caused by ischemia ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... Wong @mchlwng #Ischemia ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... : Differential diagnosis ... aVR • Classic EKG ... #ekg #differential ... #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Shock, SBP <90, AMS ... Ischemia? ... Patients DIE: Drugs, Ischemia ... #bradycardia #diagnosis ... differential #management #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Glucose/Temp • ACS ... • Myocardial ischemia ... • Post cardiac/Valve ... #causes #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Early embolic/ischemic ... Differential Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology