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management differential testing workup catheterization ekg electrocardiogram causes checklist cost effectiveness heart myocarditis risk stratification syncope syndrome treatment acidosis algorithm
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... : ECG, Telemetry ... , Cardiac enzymes ... , Brain MRI, Cardiac ... EricsMedicalLectures/ #Syncope #diagnosis
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
anterior wall MI ... EKGS in pts are crucial ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... who can exercise should ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #Causes #cardiology ... #MRI
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... segments, usually best ... seen in acute MI ... #ECG #electrocardiogram ... #cardiology #diagnosis
Overview of approach to brain death Pursuing a diagnosis of brain death too early may lead to
death Pursuing a diagnosis ... to the patient should ... death evaluation should ... brain activity on neurologic ... . cardiac arrest
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... New/worsening MR ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Cost-effective tests ... cost-effective tests ... Carotid US • Brain MRI ... • EEG • Cardiac ... EricsMedicalLectures/ #Syncope #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Checklist for diagnosing ... MI in LBBB or Pacemaker ... Should see "Appropriate ... electrocardiogram #ecg ... #cardiology #lbbb
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