9 results
Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
 - Goal SBP <185 AND
Blood pressure management ... in acute ischemic ... stroke - Timeline ... #Hypertension #CVA ... #management #ischemic
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 #STEMI
Evolution of stroke on CT and MRI. 

Day 1: NCHCT demonstrates obscure left insular cortex. No
Evolution of stroke ... thought to represent ischemic ... #Stroke #CVA #MRI ... #Progression #Timeline ... #Neurology #Radiology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
MRI Findings in Stroke ... row) of an acute ischemic ... #Progression #Stroke ... #CVA #Clinical ... Neurology #Evolution #Timeline
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... deviation) • Acute ischemia ... leads) #STEMI #Equivalents ... #differential #cardiology ... #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... history of: a) Ischemic ... one post op Cardiology ... • <6mo since stroke ... medical and surgical management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Lytes including Ca ... antiarrhythmics - Ischemic ... #HeartFailure #Cardiology ... #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Gastric & Ovarian CA ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity
Problem - Immune checkpoint inhibitors (ICIs) are associated with
Management of Immune ... conditions including ischemia ... Monitor and trend electrocardiogram ... prednisone 1-2 mg/kg ... Cardiotoxicity #cardiology