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management differential clinical echocardiogram criticalcare anesthesia anesthesiology causes checklist endocarditis foamed heartfailure intraoperative lv pulmonary stable thrombus workup a4c acidosis
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... LMCA lesion -> Cardiac ... #ChestPain #Diagnosis ... #Cardiology #EBM
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
Mesenteric Ischemia ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... hypovolemia), Meds/Treatments ... #Diagnosis #algorithm
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
other causes of cardio-pulmonary ... in relation to ECG ... leads) RV Ischemia ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Pericardial Tamponade Beck's Triad 1. Hypotension 2. Jugular venous distension 3. Muffled heart sounds Patient will be
Tamponade Beck's Triad ... paradoxus - ECG ... collapse of RV - Treatment ... #Pericardial #Cardiac ... #Diagnosis #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... 85% of predicted value ... : EKG ($), ECHO ... Stress #Testing #cardiology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... priapism • Lab values ... unless worrisome EKG ... with tetany or cardiac ... Syndrome #TLS #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... Obtain femoral arterial ... Initiative #Management #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... • Myocardial ischemia ... • Underlying ischemic ... more intensive treatment ... #differential #cardiology
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