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diagnosis management clinical differential algorithm anesthesiology checklist echocardiogram ekg electrocardiogram equivalents intraoperative ischemia workup a4c aortic apical arrest cardiogenic cardiomyopathy
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... CM5 continuous ECG ... Obtain a 12-lead ECG ... • Start glyceryl ... consultation with cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #Ischemia #ECG ... electrocardiogram #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction ï‚· Ischemic Symptoms ï‚· EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms ï‚· EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... Initiative #Management #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram STEMI on EKG: check the echo!
Double Valve Sign ... Dissection on POCUS ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology
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 Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... Start glycaemic ... • Start cooling ... Anesthesiology #Anesthesia
Yamaguchi cardiomyopathy on Echocardiogram (A4C) ECG has been stable for years, she only feels unwell when in
Echocardiogram (A4C) ECG ... has been stable ... Cardiac MR shows ... hypertrophic #clinical #cardiology ... #pocus
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... Signs of congestion ... ECG is vital while ... Cardiac cath if ... algorithm #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... Stable patients ... one post op Cardiology ... postoperative cardiac
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