31 results
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
myocardial ischemia ... transmural ischemia ... to be caused by ischemia ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Miss Signs of Ischemia ... Wong @mchlwng #Ischemia ... #ECG #EKG #diagnosis
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 ... Antiphospholipid syndrome ... #Mesenteric #Ischemia
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management
Approach to Diarrhea - Differential Diagnosis and Workup Algorithm

Acute Diarrhea (MINT):
 • Medications
 • Infections: Inflammatory
- Differential Diagnosis ... and Workup Algorithm ... Acute Diarrhea ... Necrosis • Toxic (e.g ... radiation, ingestions ischemia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Management #Workup
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Ischemia? ... Connect ECG Leads ... Patients DIE: Drugs, Ischemia
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... point • De Winter syndrome ... ischemia in LVH ... #Equivalents #ECG ... #EKG #diagnosis
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... that will cause ischemia ... Lumbar Puncture, EEG ... cyclophosphamide • Ischemic ... #management #treatment
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... - Differential Diagnostic ... • Mesenteric ischemia ... Metabolic disease (e.g ... Irritable bowel syndrome