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diagnosis cardiology management ecg anesthesia checklist clinical electrocardiogram workup endocarditis equivalents intraoperative pulmonary abnormalities acidosis algorithm anterolateral bradycardia cardiac cardiotoxicity
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
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... Wong @mchlwng #Ischemia ... electrocardiogram #cardiology ... Interpretation #differential
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... signs of cardiac ischaemia ... possible. ❺ If ischaemia ... #Cardiac #Ischemia ... #Ischaemia #Anesthesiology
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
Wave Inversions - Differential ... repolarization Myocardial ischemia ... #Diagnosis #Causes ... #Cardiology #ECG ... #EKG #Electrocardiogram
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
(WMA) on POCUS Echocardiogram ... of breath and ischemic ... EKG changes (but ... no STEMI). ... PSAX #clinical #cardiology
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 Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
• Myocardial ischemia ... • Underlying ischemic ... 300 = NSVT EKG ... more intensive treatment ... #cardiology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Causes #Anesthesiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... , - regional ischemia ... - regional ischemia ... before beginning treatment ... - Mesenteric ischemia
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 ... #Hypotension #Differential ... #Anesthesiology
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