19 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... = Biomarkers + ECG ... dissection, PE, peri/myocarditis ... electrocardiogram #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... agent, steroids, AC ... #diagnosis #management ... #cardiology #summary
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 ... DCSI #Initiative #Management ... #Cardiology
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Hypertension, CKD ... illness: Myocarditis ... illness: Critical ... Classification #diagnosis #cardiology ... #troponemia #NSTEMI
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... help stratify cardiac ... Comatose #CathLab #NSTEMI ... Stratfication #Management ... #Cardiology #CriticalCare
Adult Post–Cardiac Arrest Care Algorithm - AHA2020
Initial Stabilization Phase - Resuscitation is ongoing during the post-ROSC
Arrest Care Algorithm ... these activities can ... electrocardiogram (ECG ... loop • Other critical ... ROSC #PostArrest #algorithm
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
- Myocardial ischemia ... incongruous with clinical ... aggressive magnesium can ... patients (including cardiac ... #Hypokalemia #Management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... Clinical • Under-recognized ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #cardiology #treatment
Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary
of breath and ischemic ... EKG changes (but ... no STEMI). ... Echocardiogram #PSAX #clinical ... #cardiology