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diagnosis anesthesia anesthesiology checklist intraoperative cardiac differential treatment algorithm criticalcare ischemia anaphylaxis arrest cardiogenic cardiomyopathy catheterization cathlab chf clinical cooling
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
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... of Shock, SBP < ... Chest Pain • ECG ... Connect ECG Leads ... #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... deWinter T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #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 ... and Survey 4) Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Intraoperative Bradycardia ... in Anaesthesia Bradycardia ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #cardiology #treatment
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... of more of the signs ... alternate vasopressor (e.g ... Checklist #Diagnosis #Management ... #Workup
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... ECG is vital while ... essentially Cardiogenic Shock ... differential #algorithm #management ... #cardiology #treatment
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