5 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... T waves - starts ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Shock #Algorithm #DCSI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... of the leads l, aVL ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Early embolic/ischemic ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... nodes • Roth’s spots ... Early embolic/ischemic ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG