13 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
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 ... #EKG #diagnosis ... #differential #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
other causes of cardio-pulmonary ... also a result of atrial ... • Dominant R Wave ... leads) RV Ischemia ... Embolism #AcutePE #diagnosis
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... despite hx HTN) EKG ... precordial leads) - atrial ... Signs #Symptoms #Cardiology
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 ... Obtain femoral arterial ... TIMI III flow in all
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... depression • T wave ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... Subepicardial atrial ... aVR • Classic EKG ... #ekg #differential ... #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... • Myocardial ischemia ... • Underlying ischemic ... 300 = NSVT EKG ... capture of the atria
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... perfusion - Cardiac ... failure - Low cardiac ... ’s • Reduced Arterial ... lactate and can act
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... history of: a) Ischemic ... indicated • EKG ... Obtain EKG if: ... stratification #diagnosis