15 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... signs of cardiac ischaemia ... factors for cardiac ischaemia ... possible. ❺ If ischaemia ... #Cardiac #Ischemia
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... (< 5% pts with afibb ... Hemodynamic instability ... #Fibrillation #AFib ... #diagnosis #management
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
you work up an ischemic ... ) B) Evaluate ischemic ... +/- TEE (high Afib ... udaygulati #ischemic ... workup #diagnosis #checklist
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF • New ischemia ... Anticoagulation ... Fibrillation #Cardiology #Management
Approach to Antithrombotic Therapy in Peripheral Artery Disease
Increased Ischemic Risk:
 • Prior MI
 • Diabetes
 •
Disease Increased Ischemic ... Bleeding Risk: • Anticoagulation ... Antithrombotic #management
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Clinical diagnosis of ischemic ... incomplete list): • Ischemic ... • Therapeutic anticoagulation ... #Stroke #cva #management
Restarting Anticoagulation after TIA or Acute Ischemic Stroke

 • TIA → Consider (re-) starting a NOAC
Restarting Anticoagulation ... after TIA or Acute Ischemic ... #Restarting #Anticoagulation ... CVA #neurology #management
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... - Myocardial ischemia ... Critical Care #Checklist ... #Hypokalemia #Management
Anticoagulant Therapy after PCI (patients with AFib)
Dual-Therapy Preferred:
 • Triple therapy = increased bleeding
(patients with AFib ... risk outweighed ischemic ... Triple #therapy #anticoagulation ... #pharmacology #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... antiarrhythmics - Ischemic ... cardiogenic shock #Checklist ... HeartFailure #Cardiology #Management