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diagnosis differential anesthesiology checklist intraoperative workup catheterization complications evaluation heartfailure hfref ischaemia ischemia myocarditis palpitations perioperative pharmacology post preop preoperative
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... hypertension, tachy- or bradycardia ... symptoms may include chest ... consultation with cardiology ... Anesthesiology #Anesthesia
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... Stress #Testing #cardiology ... #management #diagnosis
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... worsening brady, Signs ... SOB from CHF, Chest ... #differential #management ... #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Breathing • Check chest ... known drug causes (eg ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Post Cardiac Catheterization Complications Access site complications • Hematoma - Pain, swelling, bruising • Retroperitoneal bleed -
pain, pallor, paresthesia ... - Hypotension, bradycardia ... presyncope • MI - Chest ... tamponade - Chest ... Complications #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... Flag Symptoms: • Chest ... #Palpitations #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Chest x-ray: signs ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Obtain EKG if: ... one post op Cardiology ... change CV risk Chest ... medical and surgical management
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