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diagnosis ekg electrocardiogram management endocarditis equivalents abdominal algorithm anesthesia anesthesiology avr bradycardia cardiac cardiogenic checklist colon dcsi detroit elevation infectiousdiseases
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't Miss Signs ... of Ischemia - ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #differential # ... cardiology #electrocardiogram
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis: • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... • infection (e.g ... colitis) • bowel ischemia ... #Differential # ... Diagnosis #radiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... Treat haemodynamic instability ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Initiative #Management #Cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Ischemia? ... Patients DIE: Drugs, Ischemia ... bradycardia #diagnosis #differential ... #management #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... ST elevation: Differential ... • Vereckei criteria ... #differential # ... cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STE: "Pardee's sign ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Early embolic/ischemic ... Marantic (NTBE) Differential ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... Early embolic/ischemic ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #Diagnosis #cardiology
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