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cardiology diagnosis ekg electrocardiogram angiogram artery avr echocardiogram emergency evaluation fluoroscopy interpretation leadavr lmca main perioperative preop preoperative risk stratification
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Left Main Coronary ... Anterior wall STEMI ... Cardiogenic shock, ECG ... LMCA #Angiogram #CathLab ... #clinical #cardiology
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 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
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 #
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... indicative of left ... main coronary artery ... predictor of recurrent ischemic ... 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
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
• L: Left Ventricular ... segment • Epsilon #clinical ... not have obvious ischemia ... Clinical Utility ... #cardiology #differential
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