12 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... EMN @EMNews #ACS ... #OMI #STEMI #Differential ... myocardial #infarction #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
MI = Biomarkers ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation in ACS ... predictor of recurrent ischemic ... ACS vs pericarditis ... aVR instead of ACS ... #ekg #differential
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Diagnosis Pulmonary ... Cardiovascular: • Acute: ACS ... decompensated CHF ... Intracardiac shunt, Cardiomyopathy ... #Diagnosis
Mucoid Degeneration of the ACL
Imaging Findings:
 • T2-hyperintense fluid-signal within the enlarged ACL on both the
Degeneration of the ACL ... within the enlarged ACL ... Differential Diagnosis ... #degeneration #knee ... #clinical #Radiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Shock, SBP <90, AMS ... , SOB from CHF, ... Ischemia? ... #bradycardia #diagnosis ... #differential #
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of the leads l, aVL ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... May have typical HF ... • Avoid ARB/ACE-I ... ., ACE/ARB) need
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... antiarrhythmics - Ischemic ... cardiomyopathy: ... NSAlDs, ACE-inhibitors ... #Checklist #CHF
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... dependent DM ACS ... event, follow ACC ... indication of AC ... • <12mo since ACS