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cardiology differential algorithm anesthesia anesthesiology checklist intraoperative treatment criticalcare ventricular acutepe afib anatomical atrial cardiac clinica clinical complexes echocardiogram ekg
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Anatomical Differential Diagnosis ... rhythm, Conduction blocks ... system: Conduction blocks ... (V-tach, VT), Monomorphic ... #Causes #cardiology
Algorithm for the Management of Ventricular Tachycardia Electrical Storm ES diagnosed (≥ 3 episodes of VT/ICD therapies
of Ventricular Tachycardia ... not terminating arrhythmia ... of reversible causes ... #VTach #diagnosis ... #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
inversion • Arrhythmias ... New or evolving regional ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... Drive: • Sinus Tachycardia ... finding) • Atrial Arrhythmia ... in relation to ECG ... leads) RV Ischemia
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
• Myocardial ischemia ... Bundle branch block ... • Underlying ischemic ... Differential Diagnosis ... • Sinus arrhythmia
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... with variable block ... atrioventricular block ... #Palpitations #Cardiology
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... non-sinus → 2-7 Tachycardia ... : o Cardiac ischaemia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, bradycardia, arrhythmias ... reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... Monitor for tachycardia
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... primary cardiac arrhythmia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Septic Emboli Cause ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... lesions, heart block ... #management #cardiology
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