10 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation in ACS ... diagnosis includes ACS ... aVR instead of ACS ... findings: Sinus ... #electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Ectopic atrial rhythm ... The mother of all ... a PFO during a bowel ... #clinical #cardiology ... #electrocardiogram
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
Algorithm 1. ... current guidelines (eg ... ACS) 5. ... fluid status (hypervolemia ... #Algorithm #cardiology
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... Arrest Algorithm ... (coronary) #ACLS ... cardiacarrest #Algorithm ... #AHA2020 #management
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
Cardiac Arrest - ACLS ... Circular Algorithm ... #circular #ACLS ... cardiacarrest #Algorithm ... #AHA2020 #management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... limb ischemia, bowel ... hydration - Hyperkalemia ... 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
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
bundle-branch block; and sinus ... Disorders: • Hyperkalemia ... no P waves • Hypercalcemia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... algorithm to determine ... indicated • EKG ... Obtain EKG if: ... • <12mo since ACS
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
no pulse OR not sinus ... pulse present AND sinus ... known drug causes (eg ... myocardial infarction, hyperkalaemia ... Checklist #Diagnosis #Management