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cardiology diagnosis ekg differential shock algorithm avr cardiogenic clinical criticalcare dcsi detroit dewinter elevation endocarditis equivalent equivalents immune inflammatory initiative
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
patient with 100% Acute ... LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Acute myocardial ... Pericarditis: PR ... than Brugada criteria ... #AVR #leadAVR #ecg ... #electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... • Sgarbossa criterion ... deviation) • Acute ... #Equivalents #ECG ... differential #cardiology #electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... depression Pericarditis ... QRS complex Pulmonary ... #STEMI #Segment ... #ekg #electrocardiogram
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Prepare • Full Set ... > Constrictive pericarditis ... Tamponade - Pulmonary ... >> Acute PE, Tension
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... due to vascular occlusion ... -> TEE • Duke Criteria ... Endocarditis #diagnosis #management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
Generally Diagnosis of Exclusion ... specific diagnostic criteria ... tuberculoma meningitis, pericarditis ... Calmette-Guérin (BCG ... Differential #Diagnosis #Management
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