11 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... predictive of occlusion ... #cardiology #occlusionMI ... #myocardial #infarction
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... anterior descending occlusions ... STEMI - look for ... DeWinter #TWaves #EKG ... #ECG #Electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... What's the culprit artery ... a PFO during a bowel ... #EKG #clinical ... #ecg
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... CathLab #clinical #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... Acute Myocardial Infarction ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Differential Diagnosis Algorithm ... deficits • Temporal artery ... symptoms and signs (e.g ... lesion • CNS infection ... (e.g., meningitis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
level <100 pg/ml EKG ... function Pulmonary-Artery ... pulmonary edema • Bowel ... infarction • ... differential #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... acute myocardial infarction ... • Epicardial artery ... STElevation #ST #STEMI ... #ecg #ekg #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
due to vascular occlusion ... that may lead to infarction ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... diagnosis #management #cardiology
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
vs. discharge) after ... natural frequency (e.g ... Conclusion: Using ... #PatientInfo #Cardiology ... #EM #Syncope #LowRisk