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diagnosis ecg differential electrocardiogram cardiac clinical equivalents management stemi afib anesthesia anesthesiology avr checklist crochetage ecgeducator evaluation fibrillation flutter interpretation
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram Female, 78 yo. HT & DM2. Admitted for severe
Echocardiogram ... of neurological deficit ... ECG: AF. ... stroke in right MCA and ... Transesophageal #Ultrasound #Cardiology
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 A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
lead used to detect ... atrial flutter ... waves when atrial ... clinically, based on signs ... #Cardiology #EKG
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... upsloping ST dep and ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Atrial septal defect An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... apex of the R wave ... #EKG #Cardiology ... #Crochetage #Sign ... #ASD
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Decompensated HF • New ischemia ... • Absence of P waves ... thrombus • Digoxin ... thrombin inhibitor ... diagnosis #management #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... Subepicardial atrial ... aVR • Classic EKG ... to detect VT than ... #differential #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology
Cardiac LV Thrombus on Echocardiogram (A4C) 48 year old woman in ICU for acute ischemic limb. PMHx
on Echocardiogram ... (A4C) 48 year ... ICU for acute ischemic ... are not POCUS: serial ... #cardiology
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 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 ... management for select
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