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diagnosis anesthesia intraoperative management workup cardiology ekg differential stemi cardiac equivalents ischemia anaesthetic cardiomyopathy clinical elevation embolism embolus high hocm
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics Typical EKG findings may include: • Deep and narrow Q waves
Deep and narrow Q waves ... inferior leads • General ... signs of LVH (high ... Deeply inverted T waves ... #cardiology #electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... differential #cardiology #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #Ischemia #ECG ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... Bundle Branch Block ... bundle-branch block ... (Eiffel Tower sign ... #ekg #electrocardiogram
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... Block - Guidelines ... that may mimic signs ... #Anesthesiology ... Intraoperative #Checklist
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
in Anaesthesia Signs ... alteration in mental ... bradycardia, conduction blocks ... Anaesthetic #Toxicity #Anesthesiology ... Intraoperative #Checklist
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 ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... Consider thrombolysis e.g ... possible • If central ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... . central line placement ... examination and vital signs ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist
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