8 results
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... of cardiac ischaemia ... symptoms may include chest ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... , Chest Pain • ... #bradycardia #diagnosis ... differential #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... Kerley B lines, alveolar ... → no signs of CXR ... Consider cardiac ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... of the leads l, aVL ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... asymmetrical, similar or bigger ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
output because of cardiac ... finally into the alveoli ... can be seen on a chest-film ... #Diagnosis #Radiology ... #CHF #CXR #Features
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... disease b) CHF ... one post op Cardiology ... change CV risk Chest ... stratification #diagnosis
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... be present at all ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs