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diagnosis anesthesia intraoperative management workup cardiology ekg differential stemi cardiac equivalents ischemia anaphylaxis block cardiomyopathy clinical elevation embolism 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
Equivalents on ECG ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... differential #cardiology #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #electrocardiogram
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 ... #Anesthesiology ... Intraoperative #Checklist
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... complex Pulmonary Embolism ... (Eiffel Tower sign ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... that may mimic signs ... • Embolism. ... Neuraxial #Block #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
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
. central line placement ... measures: • Fluid bolus ... examination and vital signs ... Cardiac #Tamponade #Anesthesiology ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... Give adrenaline bolus ... alternate vasopressor (e.g ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist
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