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cardiology differential ekg electrocardiogram anesthesiology checklist clinical echocardiogram equivalents fibrillation intraoperative ultrasound ventricular workup algorithm avr cardiac cardiogenic cyanosis dcsi
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
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 ... #AVR #leadAVR #ecg ... #ekg #differential
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 ... #Checklist #Diagnosis ... #Management #Workup
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Infarction  Ischemic ... Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... of the leads l, aVL ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... Fine Vfib can be ... While getting 12 lead ... ECG, POCUS performed
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 Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis 50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Diagnosis? ... Fine Vfib can be ... While getting 12 lead ... ECG, POCUS performed
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 Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... , bowel infarction ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
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: ... stratification #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Early embolic/ischemic ... occlusion that may lead ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
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