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diagnosis cardiology management anesthesia anesthesiology electrocardiogram endocarditis equivalents intraoperative stemi workup clinical complexes echocardiogram edema emergency hypotension infectiousdiseases interpretation ischaemia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... #diagnosis #differential
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... depression in VI-V2 - posterior ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Diagnosis • Cardiac ... disease: Myocardial ischemia ... #Differential # ... Diagnosis #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... elevation in aVR • Posterior ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... • Myocardial ischemia ... 300 = NSVT EKG ... #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... lack of acute cardiac ... level <100 pg/ml EKG ... • Negative for ischemic ... #diagnosis #cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... ischaemia → 3-12 ... Endocrine cause (eg ... #Hypotension #Differential ... Intraoperative #Checklist
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Valvular disease (e.g ... #Palpitations #Cardiology ... #Differential #
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
dental procedure • Cardiac ... : • New cardiac ... Early embolic/ischemic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG
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