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diagnosis differential cardiac digoxin management toxicity toxicology anesthesia anesthesiology causes checklist complexes digitalis electrocardiogram evaluation intraoperative ischaemia ischemia mri myocarditis
Electrocardiographic Features of Digoxin Toxicity • Virtually any arrhythmia is possible. None specific for digoxin toxicity
Electrocardiographic Features ... T waves - BCM IM ... Electrocardiogram #ekg ... #ecg #toxicology ... #cardiology #diagnosis
Almost any type of cardiac arrhythmia is seen in digitalis toxic­ity. However, type II second-degree atrioventricular
The arrhythmias ... seen are sinus bradycardia ... The various ECG ... #Diagnosis #Cardiology ... #EKG #ECG #Digoxin
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Contraindications: - Bradycardia ... with ventricular arrythmias ... Diagnostics: EKG ... MRI ($$$$) CORE IM ... Stress #Testing #cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Cardiogenic ventricular arrythmia ... Paraclinical assessment: EKG ... Characteristic features ... Diagnosis #Causes #cardiology
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... • Infections (e.g ... • Autoimmune (e.g ... Hospital of Baltimore IM ... Differential #Diagnosis #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
inversion • Arrhythmias ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... fibrillation/flutter • Bradycardia ... Valvular disease (e.g ... disease • Severe bradycardia ... #Palpitations #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Cardiomyopathy • Inherited arrhythmia ... syndromes (e.g. ... 300 = NSVT EKG ... tachycardia • Sinus arrhythmia ... #differential #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... CV disease - Arrhythmia ... one post op Cardiology
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