34 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology ... Interpretation #differential
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... stenosis of proximal LAD ... anterior wall MI ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... New/worsening MR ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
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Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... : UC and CD • infection ... (e.g. pseudomembranous ... colitis) • bowel ischemia ... Diagnosis #radiology
Myocardial Infarction - Definition and Types

Type 1 - Spontaneous Myocardial Infarction
 - Atherosclerotic plaque rupture or
Secondary to an Ischaemic ... Condition other than CAD ... #Diagnosis #Cardiology ... #Definitions #NSTEMI ... #MI #Type1 #Type2
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... : Bad block? ... Ischemia? ... bradycardia #diagnosis #differential ... #management #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
Infarction ï‚· Ischemic ... Symptoms ï‚· EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Initiative #Management #Cardiology
Myocardial infarction:
Classified into 5 types based on etiology and circumstances:

Type 1: Spontaneous MI caused by ischemia
sudden unexpected cardiac ... intervention (signs ... bypass grafting (signs ... #MI #Ischemia #myocardialinfarction ... #CAD #thrombosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... trolley and 12-lead ... Obtain a 12-lead ... consultation with cardiology