10 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't ... have no pain - LAD ... #ECG #EKG #diagnosis ... #STEMI #Equivalents
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... a PFO during a bowel ... #STEMI #EKG #clinical ... #ecg
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
ECG machine. ❷ ... CM5 continuous ECG ... ECG as soon as ... Intraoperative #Checklist ... #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Checklist Evaluation ... - EKG & echocardiography ... antiarrhythmics - Ischemic ... Nephrotoxins (e.g ... channel blocker (eg
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... AKI, acute limb ischemia ... , bowel infarction ... unless worrisome EKG ... TLS #diagnosis #management
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... Clopidogrel (or equivalent ... current guidelines (eg ... Optimal BP management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... medical and surgical management
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
blood gas, 12-lead ... ECG, chest X-ray ... o Cardiac ischaemia ... Intraoperative #Checklist ... Diagnosis #Workup #Management