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cardiology diagnosis clinical differential echocardiogram pocus electrocardiogram management cardiogenic chf criticalcare dcsi detroit dissection doublevalve effusion elevation equivalents evaluation fibrillation
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... TIMI III flow in all ... major epicardial
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... wave inversion in avL ... #Ischemia #ECG ... #EKG #diagnosis
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram STEMI on EKG: check the echo!
Echocardiogram STEMI ... on EKG: check the ... Can you spot the ... - VCU Ultrasound ... #clinical #plax
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 Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX) Pt with systemic AL amyloidosis presents with 1
- Parasternal short ... axis (PSAX) Pt ... Has new large pericardial ... Echocardiogram #Cardiology ... #PSAX
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 Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... • Malignancy (e.g ... infarction • Aortic ... CAUSES • PRIMARY Cardiac ... Primary systemic amyloidosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Prinzmetal's Angina: • Epicardial ... Post-cardioversion • Acute aortic ... STElevation #ST #STEMI ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... algorithm to determine ... indicated • EKG ... Obtain EKG if: ... risk (>5%): - Aortic
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... importantly, bedside ultrasound ... ECG is vital while ... Cardiac cath if ... #differential #algorithm
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis 50's male witnessed arrest. Unknown hx. AED no
- Parasternal Short ... Prehosp ACLS-Asystole ... getting 12 lead ECG ... Fibrillation #VFib #PSAX ... Echocardiogram #ultrasound
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