214 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE ... LeftMainOcclusion #LeftMain
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Artery Occlusion on ECG ... > 1 mm - aVR ST ... elevation in VI #LeftMain ... Occlusion #Artery #ECG ... #EKG #Diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
STEMI - J point STE ... myocarditis (diffuse STE ... precordial leads with STE ... inversion - STE ... V1 >V2 or STE/isoeIectric
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... QT, Osborn J (see ... Brugada 1 - Coved STE ... Syncope #Syndromes #ECG ... #EKG #Checklist
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism (VTE ... • Provoked (e.g ... - Recurrent VTE ... hematology #diagnosis #algorithm ... #hematology #VTE
Pharmacologic prophylaxis of VTE in selected clinical scenarios.

Enoxaparin 
Dalteparin 
Fondaparinux 
Dabigatran 
Unfractionated Heparin
Warfarin 
Aspirin 

#prophylaxis #VTE
prophylaxis of VTE ... in selected clinical ... #prophylaxis #VTE
Brugada syndrome with non-sustained VT; sodium channel blocking drugs (e.g. amio, procainamide) can be dangerous here!

-
non-sustained VT ... blocking drugs (e.g ... Electrocardiogram #ECG ... #EKG #Clinical
Algorithm for Thromboembolism Prophylaxis in Nephrotic Syndrome

#vte #thromboembolism #prophylaxis #ppx #nephrotic #syndrome #Algorithm #management
Algorithm for Thromboembolism ... Nephrotic Syndrome #vte ... nephrotic #syndrome #Algorithm
Venous Thromboembolism Treatment Algorithm
Branch points: 
Active bleeding?  Active malignancy? Provoked?

- Dr. Joseph Shatzel
@Clotmaster

#Management #VTE #DVT
Thromboembolism Treatment Algorithm ... #Management #VTE ... #DVT #Algorithm