11 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... upsloping ST dep and ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... , often with 1-2 ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
recommendation (eg ... pressure waves ... , Thrombosis, (pulmonary ... cardiacarrest #Algorithm #AHA2020 ... #management #adult
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... relationship (2: ... 1 or 3:1 block) ... QRS • Atrial ... #cardiology
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
recommendation (eg ... pressure waves ... , Thrombosis, (pulmonary ... cardiacarrest #Algorithm #AHA2020 ... #management #adult
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
thromboembolism) 1) ... Transthoracic echocardiogram ... m/s • Other signs ... ventricular septum 2) ... Hypertension #diagnosis #management
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... Cardioversion 1. ... cardioversion 2. ... AFib #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... days before Pulmonary ... one post op Cardiology ... CARP, DECREASE V trials ... surgical management
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary 1. ... other causes* 2. ... cardiomyopathy • Pulmonary ... Serial TTE and close ... #cardiology #treatment