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cardiology diagnosis management algorithm ekg electrocardiogram treatment angiogram artery cardiomyopathy cathlab chf complexes criticalcare dcsi detroit echocardiogram edema emergency evaluation
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
• Clinical presentation ... : Pseudo-acute coronary ... failure <3 rnonths, Cardiogenic ... Paraclinical assessment: EKG ... #cardiology #MRI
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't ... electrocardiogram #cardiology ... #STEMI #Equivalents ... Interpretation #differential
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... place IMPELLA Coronary
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... deviation) • Acute ischemia ... #Equivalents #ECG ... #differential #
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
including: • Coronary ... • Myocardial ischemia ... • Underlying ischemic ... may not occur Differential ... #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... use causing non-cardiogenic
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... is essentially Cardiogenic ... cath if acute coronary ... the determined cause ... #diagnosis #differential
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Clinical • Under-recognized ... Minority of Pts: cardiogenic ... diagnosis #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... history of: a) Ischemic ... Change in clinical ... one post op Cardiology ... • Preoperative coronary
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