21 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #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
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Reason for electrical ... EKG from same patient ... #alternans #POCUS ... Echocardiogram #A4C ... #Clinical #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #biopsy
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Hyperthermia #Differential ... Anesthesiology #Anesthesia
Cardiac Fibroma on Echocardiogram (a4c)

32yo asymptomatic male referred to clinics due to a "funny" ECG. 
Dx:
Cardiac Fibroma ... Echocardiogram (a4c ... due to a "funny" ECG ... #Fibroma #a4c # ... #pocus
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... help; consider electrical ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management