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diagnosis cardiology management anesthesia anesthesiology differential intraoperative cardiac echocardiogram electrocardiogram neurology perioperative abnormalities accelaratedidioventricularrhythm aivr anterolateral arrest bells cardiogenic cooling
ST segment elevation in acute myocardial ischemia ST segment elevations with straight (horizontal, upsloping or downsloping) or
acute myocardial ischemia ... acute transmural ischemia ... by ischemia (Figure ... probability of ischemia ... #ECG #EKG #STEMI
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... Miss Signs of Ischemia ... Wong @mchlwng #Ischemia ... #ECG #EKG #diagnosis ... #STEMI #Equivalents
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... signs of cardiac ischaemia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG
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
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
up an ischemic CVA ... ) B) Evaluate ischemic ... Cardioembolic: • ECG ... udaygulati #ischemic ... #diagnosis #checklist
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 ... #EKG #diagnosis
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 ... evidence of AMI (STEMI ... Cardiogenic #Shock #Algorithm
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... : o Cardiac ischaemia ... (eg steroid dependency ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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
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