10 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... Wong @mchlwng #Ischemia ... electrocardiogram #cardiology ... 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 ... DCSI #Initiative #Management ... #Cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Ischemia? ... Patients DIE: Drugs, Ischemia ... bradycardia #diagnosis #differential ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
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
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... , - regional ischemia ... / hypoxemia -> focus ... - regional ischemia ... - Mesenteric ischemia
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Early embolic/ischemic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... medical and surgical management
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
to focus on ... segment • Epsilon #clinical ... not have obvious ischemia ... Clinical Utility ... #cardiology #differential