11 results
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram (EKG ... conduction Uses: - Atrial ... fibrillation and atrial ... Digoxin effect on ECG ... #ECG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... atrial tachycardia ... Control rate (e.g ... Control rate (e.g ... #cardiology #algorithm
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... P and QRS • Atrial ... Block infranodal level ... summary #Diagnosis #EKG ... electrocardiogram #ecg
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial ... flutter, or atrial ... • Multifocal atrial ... Valvular disease (e.g
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Consider invasive arterial ... Checklist #Diagnosis #Management
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 ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
❹ Insert intra-arterial ... Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Cardiac #Arrest #Anesthesiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... medical and surgical management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... night sweats, fever ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology