12 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... Algorithm The ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... TIMI III flow in all
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... predictor of recurrent ischemic ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
Deformity / Limp - Differential ... Diagnosis Algorithm ... Legg-Calve-Perthes Disease Knee ... Chondromalacia Patellae ... (e.g., Tendon Rupture
Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary
Abnormalities (WMA) on POCUS ... of breath and ischemic ... EKG changes (but ... no STEMI). ... PSAX #clinical #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STElevation #ST #STEMI ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... algorithm to determine ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology