39 results
ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #STElevationMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... Acute Occlusion MI ... MyocardialInfarction #OMI #STEMI ... electrocardiogram #ecg ... #ekg
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... = Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... NSTEMI: 1. ... New/worsening MR ... lab w/in 24 h: NSTEMI ... low (1-2) risk, +ECG
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... Syncope #diagnosis #workup
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... on ECG This ... how subtle an EKG ... look in occlusion MI ... #ECG #EKG #Electrocardiogram
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... a NCCT or • MRI ... Cardioembolic: • ECG ... #CVA #stroke #workup ... diagnosis #checklist #neurology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Cost-Effectiveness Workup ... Orthostatic BP • ECG ... • Ambulatory ECG ... Carotid US • Brain MRI ... • EEG • Cardiac
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
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Focal findings on neurologic ... electrolytes, CXR, ECG ... CSF, thyroid, MRI