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diagnosis management cardiology anesthesiology checklist differential intraoperative workup bradycardia cardiac complexes essential et evaluation hematology ischaemia ischemia palpitations perioperative polymorphic
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... or VT • Rapid ... Arrhythmias: • SVT ... & termination: SVT ... vagal maneuvers: SVT-AVNRT
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
symptoms may include chest ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... cardioversion • If known SVT ... nodal agents (e.g ... #management #cardiology ... #algorithm
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... heart disease Causes ... EKG Findings ... more intensive treatment ... #differential #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Breathing • Check chest ... Consider known drug causes ... (eg. remifentanil ... Management #Workup #Cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Recurrent Polymorphic VT ... Pointes - Management Algorithm ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case ... TDP #Management #Algorithm
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology ... change CV risk Chest
Essential Thrombocythemia (ET) ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... lightheadedness, atypical chest ... MI, stroke, DVT/ ... PV, MDS, CML) Treatment ... • Treatment algorithms
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