9 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... Ischemia? ... Patients DIE: Drugs, Ischemia ... bradycardia #diagnosis #differential ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of the leads l, aVL ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... antiarrhythmics - Ischemic ... #HeartFailure #Cardiology ... #Management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
too often, the knee-jerk ... our friends from Cardiology ... Cardiology cannot ... primary disturbance Cardiology ... similar where Cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
too often, the knee-jerk ... our friends from Cardiology ... Cardiology cannot ... similar where Cardiology ... #cardiology #clinica
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Pts: cardiogenic shock ... • Avoid ARB/ACE-I ... ., ACE/ARB) need ... #cardiology #treatment
Preoperative Risk Evaluation

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