11 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... Equivalents / Don't Miss Signs ... electrocardiogram #cardiology ... Interpretation #differential
Myocardial infarction:
Classified into 5 types based on etiology and circumstances:

Type 1: Spontaneous MI caused by ischemia
sudden unexpected cardiac ... intervention (signs ... and symptoms of ... bypass grafting (signs ... and symptoms of
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... is conscious, symptoms ... CM5 continuous ECG ... consultation with cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Infarction  Ischemic ... SymptomsEKG ... evidence of AMI (STEMI ... Initiative #Management #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #differential # ... cardiology #electrocardiogram
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... priapism • Lab values ... WBC >100k, + lab signs ... unless worrisome EKG ... with tetany or cardiac
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Non-neuromuscular disorder (Cardiac ... Lack of UMN/LMN signs ... necrotizing myopathy • Autoimmune ... electromyographic (EMG
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
disease (SVC/IVC occlusion ... thrombosis, VTE) • Cardiac ... Behcet disease) Differential ... retinal tears, Ischemia ... diagnosis #management #signs
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
regurgitation • Autoimmune ... Early embolic/ischemic ... due to vascular occlusion ... Marantic (NTBE) Differential ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... regurgitation • Autoimmune ... Early embolic/ischemic ... due to vascular occlusion ... #Diagnosis #cardiology