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differential anesthesia anesthesiology complexes ekg electrocardiogram intraoperative premature workup cardiac endocarditis algorithm angina arrest avr bradycardia chestpain clinical cooling cyanosis
Premature atrial complex (PAC) - ECG Recognition • Prematurity and altered P wave morphology. • P
Premature atrial ... complex (PAC) - ... ECG Recognition ... altered P wave morphology ... #cardiology #diagnosis
The 3 Fates of a Premature Atrial Complex • PAC can be conducted with normal QRS
of a Premature Atrial ... conduct with a RBBB morphology ... #PACs #cardiology ... #diagnosis #ekg ... #premature #atrial
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
• Myocardial ischemia ... with abnormal morphology ... : • PAC – Often ... A PAC also has a ... #differential #cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... coronary syndrome (ACS ... Angina #ChestPain #Diagnosis ... #Cardiology #EBM
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... Subepicardial atrial ... #AVR #leadAVR #ecg ... #cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Ischemia? ... Patients DIE: Drugs, Ischemia ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Hypercoagulable (APLAS ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management ... stratification #diagnosis
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
❹ Insert intra-arterial ... Obtain 12-lead ECG ... and discuss with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
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