12 results
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long ... QT Syndrome: Illness ... **Get baseline EKG ... - QT prolonging ... Syndrome #Diagnosis #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
DANGER - Short QT ... : ↑ca - Long QT ... hypo K, hypo Mg, congenital ... #Approach #ECG ... #EKG #diagnosis
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... clinical context & EKG ... #Hypokalemia #Management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Drugs that prolong QT ... • Donepezil Congenital ... long QT Syndrome ... TorsadesdePointes #TDP #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesia #Checklist ... #Diagnosis #Management
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 ... Intraoperative #Checklist ... #Diagnosis #Management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... #ICU #Pearls #Checklist
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... heart disease • Congenital ... hemodynamics (e.g ... LVEF recovery (e.g ... (e.g., ACE/ARB)
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
known drug causes (eg ... #Bradycardia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology