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diagnosis cardiology management anesthesia anesthesiology workup cardiac intraoperative bradyarrhythmia complexes ecg electrocardiogram hyperthermia ischaemia ischemia perioperative premature pvc pvcs stress
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... fibrillation/flutter • Bradycardia ... disease • Severe bradycardia ... #Cardiology #Differential
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... Stress #Testing #cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... Management #Workup #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... 200ms from longer pause ... #Tachycardia #Bradycardia ... #EKG #diagnosis ... #differential
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... #Causes #Anesthesiology ... #Anesthesia #Checklist
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... hypertension, tachy- or bradycardia ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
heart disease Causes ... the heartbeat • Palpitations ... 300 = NSVT EKG ... may not occur Differential ... #cardiology
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Physiological causes ... SinaiBmoreIMRes #Bradycardia ... #Differential # ... Diagnosis #cardiology
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