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diagnosis ecg algorithm differential hematology blood cad cardiogenic clinical dcsi detroit elevation endocarditis equivalents evaluation hfpef initiative interpretation leukostasis lysis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
deWinter T waves - starts ... have no pain - LAD ... avR - proximal LAD ... #electrocardiogram ... #cardiology #STEMI
Hyperkalemia EKG - K of 8.5 Here’s an #ECG of a man with ROSC after cardiac arrest Computer
Hyperkalemia EKG ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #EKG #ECG #Electrocardiogram ... #Cardiology #Clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction ï‚· Ischemic Symptoms ï‚· EKG and/or biomarker evidence of AMI
Infarction ï‚· Ischemic ... Symptoms ï‚· EKG ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
tinnitus, visual changes ... AKI, acute limb ischemia ... hydration - Hyperkalemia ... unless worrisome EKG ... TLS #diagnosis #management
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... dissection • Sodium-channel ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
nodes • Roth’s spots ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
in recipient (e.g ... Hypocalcemia, Hyperkalemia ... RBCs (stored at 4C ... , Trypanosoma (Chagas ... Transfusions #diagnosis #management
HFpEF and CAD Management Algorithm 1. Consider revascularization based on current guidelines for CAD and HFpEF* 2. Statins:
HFpEF and CAD Management ... current guidelines (eg ... nitrates, calcium channel ... fluid status (hypervolemia ... #cardiology
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