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cardiology differential severity syncope aorticstenosis aorticvalvearea ekg endocarditis meangradient assessment causes clinical diastolic diastology dysfunction echocardiogram electrocardiogram emergency equivalents evaluation
Severity of Aortic Stenosis in Adults Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
>50 mmHg (2) (Table ... #Diagnosis #Cardiology ... #Aortic #Stenosis ... AorticStenosis #Classification ... #Severity #Criteria
Aortic Stenosis Grading on echocardiography The cut-offs for grading can be found in table 1. Discrepancies are
Aortic Stenosis ... can be found in table ... #Diagnosis #Cardiology ... #Aortic #Stenosis ... #Severity #Criteria
Diastolic Function Grading - Schematic diastolic filling patterns I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... #Diagnosis #Cardiology ... Dysfunction #Grading #Classification ... #Grades #Criteria ... #Table #Assessment
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
- Differential Diagnosis ... by Classification ... Mechanical • Aortic ... stenosis • ... #Table #Causes
Aortic Stenosis Severity Classification Mild AS: • Valve Area > 1.5 cm2 • Mean Gradient < 20
Aortic Stenosis ... Severity Classification ... #Classification ... #Diagnosis #Cardiology ... #Table
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... deWinter T waves - starts ... no pain - LAD stenosis ... #EKG #diagnosis ... electrocardiogram #cardiology
WOBBLER for ECG assessment in Syncope W - Wolff Parkinson White O - Obstructed AV
WOBBLER for ECG ... cardiomyopathy and aortic ... stenosis. ... #ECG #Diagnosis ... #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... nodes • Roth’s spots ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... block, annular or aortic
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... risk (>5%): - Aortic ... one post op Cardiology ... Severe Aortic stenosis ... stratification #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Ovarian CA, involves aortic ... nodes • Roth’s spots ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... block, annular or aortic
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