23 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Diagnosis #Management ... #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... assoc with 1K, AV block ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- EKG & echocardiography ... Nephrotoxins (e.g ... Initiation of beta-blocker ... failure - Any beta-blocker ... (eg diltiazem)
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis ... Pericarditis, Tamponade EKG ... Findings: - AV block ... #diagnosis #management ... #cardiology #summary
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Checklist #Diagnosis ... #Management #Workup
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
before dropped beat ... Brady Management ... degrees #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology
Bradycardia - Differential Diagnosis 
 • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
- Differential Diagnosis ... / infarction, Myocarditis ... . digoxin, beta ... blockers, calcium ... #cardiology
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
known drug causes (eg ... toxicity (→ 3-10); beta-blocker ... #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesia #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... alternate vasopressor (e.g ... #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup