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diagnosis ekg clinical flutter typical anesthesiology checklist counterclockwise intraoperative reverse workup algorithm arrest cardiogenic chestpain clockwise comparison cooling dcsi decisionaid
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... up, slow down; "negative ... • V1: Broad & negative ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
atrial activity ... • Negative F ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... up, slow down; "negative ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... • V1: Broad & negative ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
is a cardiac glycoside ... fibrillation and atrial ... flutter (rate control ... Digoxin effect on ECG ... #EKG #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
❹ Insert intra-arterial ... Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Anesthesiology #Anesthesia
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... one post op Cardiology ... postoperative cardiac ... medical and surgical management
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