Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
intolerance β€’ Chest ... pain, pericarditis ... gallop β€’ Abnormal ECG ... #Diagnosis #Management ... #Cardiology
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome on ECG ... while walking to work ... A 12-lead ECG is ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis ... shock, Arrythmias, Pericarditis ... , Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Breathing β€’ Check chest ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity
Problem - Immune checkpoint inhibitors (ICIs) are associated with
ICIs range from myocarditis ... serious arrhythmias, pericarditis ... Monitor and trend electrocardiogram ... prednisone 1-2 mg/kg ... Cardiotoxicity #cardiology