46 results
Distinguishing Between Benign Early repolarization vs STEMI on EKG
#Diagnosis #Cardiology #ECG #EKG #Repolarization #STEMI #Comparison #Table
repolarization vs STEMI ... on EKG #Diagnosis ... #EKG #Repolarization ... #STEMI #Comparison ... #Table #ALiEM
ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #STElevationMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... Acute Occlusion MI ... • Posterior MI ... MyocardialInfarction #OMI #STEMI ... #ekg
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Unstable/cardiogenic shock ... New/worsening MR ... low (1-2) risk, +ECG ... /UA: stable, TIMI
T-Wave ECG changes in Hyperkalemia vs Hyperacute MI
 - Hyperkalemia: Increased height, without increase area
 -
T-Wave ECG changes ... vs Hyperacute MI ... Hyperkalemia #Hyperacute #MI ... clinical #cardiology #ekg ... electrocardiogram #comparison
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... Effectiveness #table ... #comparison
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... in Cardiogenic shock ... , ECG predicted ... taken for Primary PCI ... established, but died on table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Shock  Hypotension ... Angiography & PCI
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
type-I vs. type-II MI ... probably a type-2 MI ... probably a type-1 MI ... The table below ... #Comparison #Table