9 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... 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 ... DCSI #Initiative #Management
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
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... : Pseudo-acute coronary ... failure <3 rnonths, Cardiogenic ... Paraclinical assessment: EKG ... Diagnosis #Causes #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... deviation) • Acute ischemia ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
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 ... #diagnosis #differential ... #algorithm #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Clinical • Under-recognized ... Minority of Pts: cardiogenic ... support for patients clinically ... #cardiology #treatment
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 ... • Preoperative coronary ... medical and surgical management
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
escalate to: ⚠️ Cardiogenic ... Key Point: High clinical ... , selenium) Differential ... • Spontaneous coronary ... recognition and management