5 results
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Admitted for severe abdominal ... admission: acute ischemia ... territories: mesenteric ischemia ... right MCA and ischemia ... Transesophageal #Ultrasound #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... Subepicardial atrial ... injury from pericardial ... aVR • Classic EKG ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... Obtain femoral arterial ... Initiative #Management #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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology ... undergoing AAA or upper abdominal