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differential ekg electrocardiogram severity syncope aorticstenosis aorticvalvearea criteria endocarditis meangradient table wellens aorticvalve bicuspid causes clinical echocardiogram emergency equivalents evaluation
Aortic Stenosis & Bicuspid Aortic Valve (AS) • Introduction & Pathophysiology • Classifications • Epidemiology •
Aortic Stenosis ... Pathophysiology • Classifications ... • Radiologic/Diagnostic ... #Stenosis #Bicuspid ... #AorticValve #cardiology
Wellen's Syndrome Type A - Biphasic T wave Type B - Deeply inverted T wave
for a critical stenosis ... #TypeA #TypeB #Classification ... #Types #Cardiology ... #EKG #ECG #Electrocardiogram ... #Diagnosis
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Specific for critical stenosis ... 'widow maker' lesion ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Severity of Aortic Stenosis in Adults Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
Stenosis in Adults ... stenosis (AS) as ... #Diagnosis #Cardiology ... #Aortic #Stenosis ... AorticStenosis #Classification
Aortic Stenosis Grading on echocardiography The cut-offs for grading can be found in table 1. Discrepancies are
Aortic Stenosis ... #Diagnosis #Cardiology ... #Aortic #Stenosis ... AorticStenosis #Classification
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
- Differential Diagnosis ... by Classification ... Mechanical • Aortic ... stenosis • ... #Classification
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... : Acute STEMI, Aortic ... no pain - LAD stenosis ... #EKG #diagnosis ... electrocardiogram #cardiology
Aortic Stenosis Severity Classification Mild AS: • Valve Area > 1.5 cm2 • Mean Gradient < 20
Aortic Stenosis ... Severity Classification ... #Stenosis #Severity ... #Classification ... #Diagnosis #Cardiology
WOBBLER for ECG assessment in Syncope W - Wolff Parkinson White O - Obstructed AV
WOBBLER for ECG ... cardiomyopathy and aortic ... stenosis. ... #ECG #Diagnosis ... #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... ↑ ESR, CRP • EKG ... block, annular or aortic ... or destructive lesion ... #management #cardiology
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