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diagnosis algorithm treatment differential checklist criticalcare ekg workup anesthesia anesthesiology clinical electrocardiogram intraoperative arrest cardiogenic classification equivalents foamed indications inpatient
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 ... Unstable/cardiogenic shock ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... catheterization #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management Clinical Presentation - exertional dyspnea - peripheral edema - exertional syncope - peripheral
Cardiac Amyloid ... , Symptoms and Management ... despite hx HTN) EKG ... #Amyloidosis #Cardiac ... #Cardiology #Staging
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... electrocardiogram #cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... state) • Tachycardia ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Cardiac surgery?
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... Signs of shock or ... supraventricular #tachycardia
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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... underlying cause #Stable ... #Treatment #management ... #cardiology #algorithm
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