35 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
disease (COPD) • Hypoxia ... • Pulmonary hypertension ... • Oxygen • Treatment ... #Diagnosis #ECG ... #EKG #Management
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... abnormal hemoglobin (e.g ... cannot use oxygen (e.g ... #diagnosis #causes
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
that results in injury ... in transmural injury ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... in relation to ECG ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
illness, Sepsis, Pulmonary ... Respiratory failure with hypoxia ... Classification #diagnosis ... #cardiology #troponemia ... #NSTEMI
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
Polycythemia Differential Diagnosis ... Algorithm Elevated ... : Cardiac/pulmonary ... Paraneoplastic (e.g ... #Algorithm #hematology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #management #cardiology ... #algorithm
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... Thrombus / Embolism: Cardiac ... Hypoperfusion: Lumen (Bowel ... hypovolemia), Meds/Treatments ... #algorithm
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Algorithm Look ... quadrant: R/O cardiac ... , pulmonary, renal ... Metabolic disease (e.g ... #Algorithm
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 ... evidence of AMI (STEMI ... Obtain femoral arterial ... Fick calculated cardiac