Key concepts covered in the cardiology webinar today:
Chest pain stratification scores : TIMI HEART ED ACS ( accelerated chest pain pathways) Aus cardiology society cp guide - high intermediate and low risk Approach to an ECG: Rate Rhythm Axis PR / elevation - depression / P Ta elevation QRS - rule out BBB / LVH / hocm / ER / brugada first Then consider ST segment for stemi or nonstemi Qtc Drugs / dig / electrolytes / toxin STEMI patterns on the ECG, localization of the lesion eg anterolateral stemi, correlation with specific coronary vessels involved STEMI differential - note not all stemi has reciprocal change ELEVATION mnemonic Electrolytes Early depolarization ( low medium high risk) LBBB Ventricular hypertrophy / hocm Aneurysm Arrhythmia eg brugada aortic dissection Takotsubo - 💔 broken heart syndrome Intracranial haemorrhage Inflammation - pericarditis / myocarditis Osbourne waves / hypothermia Vasospasm - prinzmetal angina AVR - ‘the death lead’ - elevation > 1mm and more than V1 with widespread Sr depression = Left main stem equivalent lesion. Posterior STEMI diagnosis - look for V1-2 st depression r/s ratio > 1 and upright T waves Increased mortality Right ventricular STEMI diagnosis Atrial infarction with PTa elevation - increased mortality RBBB - acs and STEMI diagnosis is complicated. AF and flutter guidelines - rate vs rhythm control, drugs to use, chadsvasc2, hasbled score MJA AF guideline. Still another 150 ecg’s to go ! Happy studying ! 💔 🖤😎
0 Comments
Leave a Reply. |
Archives
June 2020
Categories |