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afib anesthesia anesthesiology atrial checklist differential edema endocarditis evaluation fibrillation intraoperative ischaemia ncpe noncardiogenic perioperative preop preoperative risk stratification workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
depression • T wave ... , particularly ventricular ... patients with a pre-existing ... consultation with cardiology ... #Management #Workup
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... level <100 pg/ml EKG ... • Negative for ischemic ... changes CXR: ... #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Cardiac: • Valvular ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... • Absence of P waves ... #management #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Infectious: • Pre-existing ... Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... history of: a) Ischemic ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
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