23 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... , STEMI 1 STABLE ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... wave inversion in avL ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... of the leads l, aVL ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... CathLab #clinical #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
last resort when all ... management is in ... expertise e.g. ... Intraoperative #Checklist ... #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Checklist Evaluation ... - EKG & echocardiography ... Nephrotoxins (e.g ... channel blocker (eg ... #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... Endocrine cause (eg ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
reservoir bag and APL ... blood gas, 12-lead ECG ... #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management