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ekg clinical electrocardiogram algorithm echocardiogram endocarditis equivalents management stelevation acs chf clotintransit coronary criticalcare ecgeducator elevation embolism emergency foamed heartfailure
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential ... believe that the ST segment ... is the only ECG ... Algorithm #cardiology ... myocardial #infarction #diagnosis
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... is the default diagnosis ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation ... #STSegment #Differential
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... stage 1 - diffuse, positive ... Elevation of PR segment ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... continues into tall, positive ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... , Aortic dissection ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... Diagnosis Framework ... STEMI: • Upsloping ... Post-cardioversion • Acute aortic ... diagnosis #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Diagnosis Framework ... • Malignancy (e.g ... infarction • Aortic ... #Diagnosis #cardiology
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... ECG is vital while ... Vasodilators) which augment ... #diagnosis #differential ... algorithm #management #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... Blood cultures are positive ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #management #cardiology
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