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cardiology differential anesthesia anesthesiology workup intraoperative ekg electrocardiogram bradycardia cardiac cardiomyopathy endocarditis peripartum summary syncope arrest biopsy causes classification clinical
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Diagnosis #Management ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Myocarditis ... Pericarditis, Tamponade EKG ... Findings: - AV block ... #diagnosis #management ... #cardiology #summary
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... assoc with 1K, AV block ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... (+/- daily EKG) ... of infection (e.g ... #criticalcare #diagnosis
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
1st Degree Heart Block ... Brady Management ... degrees #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... #bradycardia #diagnosis ... #differential #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... amphetamines) Toxic: • Radiologic ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Pericarditis/Myocarditis ... #differential #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
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