24 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... aVR • Classic EKG ... #differential # ... cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... electrocardiogram #cardiology ... Interpretation #differential
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... emergent cath lab ... Stratfication #Management ... #Cardiology #CriticalCare
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... records asx events, all ... (most) ECG leads ... Monitoring #Devices #Comparison ... #cardiology #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... : Bad block? ... bradycardia #diagnosis #differential ... #management #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... limb ischemia, bowel ... or priapism • Lab ... unless worrisome EKG ... TLS #diagnosis #management
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
Pressure Support - All ... ratio ventilation (e.g ... #Ventilation #CriticalCare ... #Comparison #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... changes on tele/ECG ... tests in cath lab ... Prinzmetal #Angina #cardiology ... #diagnosis #management