15 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... moderate or severe ischemia ... on results of ISCHEMIA ... /alenghat/ #ISCHEMIA ... #Cardiology #EBM
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia ... GPA, IgA, MPA) Acute ... inflammation (e.g ... #Mesenteric #Ischemia ... #Diagnosis #algorithm
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... findings in acute ... also a result of atrial ... leads) RV Ischemia ... AcutePE #diagnosis #cardiology
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... Differential Diagnostic Algorithm ... • Mesenteric ischemia ... Metabolic disease (e.g ... syndrome #Diffuse #Acute
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Admitted for severe abdominal ... after admission: acute ... ischemia in right ... territories: mesenteric ischemia ... right MCA and ischemia
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA Acute ... Infarction  Ischemic ... Symptoms  EKG ... Initiative #Management #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Acute myocardial ... predictor of recurrent ischemic ... Subepicardial atrial ... injury from pericardial ... #differential #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... structural and electrical ... control (chemical/electrical ... ventricular hypertrophy, pericardial ... diagnosis #management #cardiology
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... Differential Diagnostic Algorithm ... Pseudo-obstruction Acute ... Infectious • Ischemic ... Injury, Stroke) #Abdominal
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
, - regional ischemia ... - regional ischemia ... cardiac output - Acute ... - Mesenteric ischemia ... peritonitis - Acute