18 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... predictive of occlusion ... #Differential #Algorithm ... #cardiology #occlusionMI
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Diagnosis #Cardiology #EKG #ECG #DeWinters
Waves - Acute Sign ... of Proximal LAD Occlusion ... #Diagnosis #Cardiology ... #EKG #ECG #DeWinters
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... aVR is a good ECG ... sign of left main ... occlusion. ... Clinical #EM #IM #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't Miss Signs ... of Ischemia - ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Myocardial infarction:
Classified into 5 types based on etiology and circumstances:

Type 1: Spontaneous MI caused by ischemia
Type 2: Ischemia ... intervention (signs ... infarction with cTn values ... bypass grafting (signs ... infarction with cTn values
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... • infection (e.g ... colitis) • bowel ischemia ... Colon #Thumbprint #Sign ... Differential #Diagnosis #radiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #differential #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... pattern of Acute RCA Occlusion ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Initiative #Management #Cardiology
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