45 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... big R or R/S>I STEMI ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology #STEMI
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... /UA: stable, TIMI ... #Indications #Cardiac
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
Hordeolum (Stye ... eyelashes on the upper lid ... Ophthalmology #Hordeolum #Stye ... Chalazion #Comparison #Table
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... > 1 mm in any lead ... V1-V3 c) STE ... wave > 25% in any lead
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
and published an algorithm ... help stratify cardiac ... emergent cath lab ... CardiacArrest #Algorithm ... Comatose #CathLab #NSTEMI
Lab patterns seen in Inborn Errors of Metabolism

A table of lab values compiled from UpToDate and
Lab patterns seen ... Metabolism A table ... of lab values compiled ... metabolicemergency-pathophysiology-differential-pediatrics-metabolism-algorithm-diagnosis ... Peds #Pediatrics #Table
A schema of the pathophysiology of the inborn errors of metabolism, excluding complex storage diseases. Helps
See the lab values ... table for supplemental ... Pathophysiology #Diagnosis #Algorithm ... Peds #Pediatrics #Table
Myocardial Infarction - Definition and Types

Type 1 - Spontaneous Myocardial Infarction
 - Atherosclerotic plaque rupture or
Condition other than CAD ... demand Type 3 - Cardiac ... Infarction - Suffer cardiac ... #Definitions #NSTEMI
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable ... LMCA lesion -> Cardiac ... #ISCHEMIA #Stable ... Diagnosis #Management #Algorithm