19 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Checklist #Diagnosis #Management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... in Anaesthesia Causes ... : hypotension, tachycardia ... Consider thrombolysis e.g ... Anesthesiology #Anesthesia #Intraoperative
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... obtain 12-lead ECG ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Unexplained tachycardia ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... with sinus tachycardia ... In this case, the ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS ... Echocardiogram ... EKG unremarkable ... This was her EKG ... #clinical #cardiology
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Intraoperative ... (eg. remifentanil ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management ... #Workup #Cardiology