12 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ... ECG machine. ❷ ... Obtain a 12-lead ... consultation with cardiology ... Checklist #Diagnosis #Management
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... predictor of recurrent ischemic ... aVR • Classic EKG ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... women • DDx: Acute ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... , AKI, acute limb ... ischemia, bowel ... unless worrisome EKG ... TLS #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Infarction  Ischemic ... Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
Acute and Critical Limb Ischemia
Critical Limb Ischemia (CLI):
 • Severe form of PAD that includes limb
Severe form of PAD ... at 1.3% (11% of all ... Acute Limb Ischemia ... coldness of LE, & paresthesia ... #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... drained if causing acute ... antiarrhythmics - Ischemic ... #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... medical and surgical management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
the setting of acute ... cannot, coronary ischemia ... patients with CAD ... “one size fits all ... #diagnosis #management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
the setting of acute ... cannot, coronary ischemia ... patients with CAD ... “one size fits all ... echocardiogram #management