13 results
ECG findings - Brugada Syndrome - 3 Types 

#Diagnosis #Cardiology #ECG #EKG #Brugada #Syndrome #Table #Types
ECG findings - Brugada ... #Diagnosis #Cardiology ... #ECG #EKG #Brugada ... #Syndrome #Table ... Types #Morphology #ALiEM
Distinguishing Between Benign Early repolarization vs STEMI on EKG
#Diagnosis #Cardiology #ECG #EKG #Repolarization #STEMI #Comparison #Table
repolarization vs STEMI on EKG ... #Diagnosis #Cardiology ... #ECG #EKG #Repolarization ... STEMI #Comparison #Table ... #ALiEM
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Inpatient #CathLab ... catheterization #cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable ... outpatient with a stable ... syndrome (ACS) evaluation ... #ISCHEMIA #Stable ... #Algorithm #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... underlying cause #Stable ... Tachycardia #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... Tachycardia #Treatment #management ... #cardiology #algorithm
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... checklist Evaluation ... guide etiology & management ... limit them as able ... Checklist #Diagnosis #Management
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... Stable patients ... one post op Cardiology ... medical and surgical management