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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Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
T-Waves on ECG ... than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... #TWaves #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
- Differential ... repolarization Myocardial ischemia ... TWaveInversions #TWI #Differential ... Diagnosis #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG β€’ Conventional ... #Equivalents #ECG ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: β€œNonspecific
ECG of a 55-year-old ... Recognize this #ECG ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
β–Ί
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain β€’ ECG ... Connect ECG Leads ... bradycardia #diagnosis #differential ... #management #cardiology
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 ... Checklist #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Liver function tests ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology