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diagnosis workup anesthesia anesthesiology clinical ecg ekg electrocardiogram intraoperative differential pacemaker radiology treatment algorithm cardiac chf criticalcare msk orthopedics pacing
Pacemaker Complications • Implantation-Related: Pocket hematoma, Infection (pocket), Pneumothorax, Hemothorax, Lead dislodgement, Cardiac perforation / tamponade
Pneumothorax, Hemothorax, Lead ... ) • Delayed: Lead ... Infection (pocket or lead ... #Pacemaker #PPM ... #management
Multifocal Atrial Tachycardia (MAT) on EKG • Heart rate > 100 bpm (usually 100-150 bpm) •
Heart rate > 100 bpm ... usually 100-150 bpm ... rhythm with varying PP ... morphologies in the same lead ... Tachycardia #diagnosis #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Criteria - Diagnostic Checklist ... > 1 mm in any lead ... wave > 25% in any lead ... Modified #Diagnosis #Checklist ... electrocardiogram #ecg #cardiology
Left Ventricular Assist Device (LVAD) Patient Decision Aid Page showing options, presenting probabilities, using statistics, and highlighting
Assist Device (LVAD ... assist device (LVAD ... presented the LVAD ... VentricularAssistDevice #Management ... #CHF #Cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... in aVR > 0.7: ppv ... only looks at aVR lead ... #differential #cardiology
66 yo with syncope - Ventricular Tachycardia This ECG shows a wide-complex tachycardia in a right bundle
rate about 150 BPM ... QRS complex in lead ... complex in this lead ... VentricularTachycardia #Clinical #Cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Torsades de Pointes - Management ... sulfate • Adult load ... infusion after load ... • Pediatric load ... evidence • Load
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
II (3) 60-100 bpm ... ve in I, II - LAD ... LBBB, LAFB - RAD ... (V5/V6 rs, qs; lat ... electrocardiogram #cardiology
Mechanical Cardiac Support Devices Compared Cannula Size - Insertion Technique - Haemodynarnic Support IABP: • Afterload: Reduced •
increase • LV pre-load ... Unknown • LV pre-load ... Unknown • LV pre-load ... Unknown • LV pre-load ... #management
Lateral Canthotomy / Cantholysis - Procedure Instructions The orbit is a relatively closed compartment and an acute
orbital volume can lead ... #Management #Lateral ... Retrobulbar #Hemorrhage #Ophthalmology
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