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diagnosis differential ekg electrocardiogram endocarditis algorithm anesthesia anesthesiology bradycardia cardiogenic checklist contiguous dcsi detroit diagram einthoventriangle emergencymedicine equivalents evaluation event
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... have no pain - LAD ... avR - proximal LAD ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Cardiac Event Monitoring Devices - Compared Ambulatory ECG (Hotter): • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... Ambulatory ECG ... events, all (most) ECG ... #Comparison #cardiology ... #management #holter
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
include: • ST ... ECG machine. ❷ ... ECG as soon as ... consultation with cardiology ... Checklist #Diagnosis #Management
Mechanical Cardiac Support Devices Compared Cannula Size - Insertion Technique - Haemodynarnic Support IABP: • Afterload: Reduced •
Mechanical Cardiac ... Support Devices ... #Support #Devices ... #Comparison #cardiology ... #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... the septum that divides ... #STEMI #Localization ... EinthovenTriangle #Cardiac ... EmergencyMedicine #Cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
: Bad block? ... Ischemia? ... Patients DIE: Drugs, Ischemia ... #differential #management ... #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
implantable electronic devices ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Any implantable devices ... exam Determine Cardiac ... history of: a) Ischemic ... one post op Cardiology ... medical and surgical management
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
implantable electronic devices ... Early embolic/ischemic ... occlusion that may lead ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
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