22 results
Schema for documenting a type 1 MI, type 2 MI, or non-MI troponin elevation based on
non-MI troponin elevation ... based on clinical ... Infarction #Troponin #Elevation ... #Type1 #Type2 # ... Billing #Guideline #NSTEMI
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Function Test (LFTs) Elevation ... SinaiBmoreIMRes #Liver #FunctionTest ... #LFTs #Elevation
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
Differentiating type-I ... vs. type-II MI ... relying heavily on clinical ... pain and troponin elevation ... #NSTEMI #Comparison
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... Electrocardiogram #Clinical
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Echocardiogram ST elevation ... misdiagnosed as STEMI ... Echocardiogram #POCUS #clinical
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Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
diagnosis was STEMI ... well, seems FOCAL type ... MIDVENTRICULAR type ... Ventriculogram #Angiogram #clinical
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Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate Elevation ... of lactate as a clinical ... a multitude of clinical ... the appropriate clinical ... Causes of Lactate Elevation
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
is inferior ST elevation ... suggestive of STEMI ... in V1) with ST elevation ... suggestive of STEMI ... #Clinical #EM #Cardiology
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
non-cardiac illness: Critical ... infarction: - Type ... disruption - Type ... cardiology #troponemia #NSTEMI
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
additional ST elevation ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior