10 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't ... have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... #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 ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... of the leads l, aVL ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ... Obtain a 12-lead ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... - EKG & echocardiography ... antiarrhythmics - Ischemic ... #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