Cardiac tamponade resident survival guide: Difference between revisions
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❑ Convexly elevated J-ST segment<br> | ❑ Convexly elevated J-ST segment<br> | ||
❑ Determine | ❑ Determine ECK staging:<br> ♦ Stage I: anterior and inferior concave ST segment elevation. PR segment 7,19 deviations opposite to P polarity <br> ♦Early stage II: ST junctions return to the baseline, PR deviated <br> ♦ Late stage II: T waves progressively flatten and invert <br> ♦ Stage III: generalised T wave inversions <br> ♦ Stage IV: ECG returns to prepericarditis state | ||
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==EKG Staging== | ==EKG Staging== | ||
==Horowitz Classification== | ==Horowitz Classification== |
Revision as of 19:14, 17 January 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayokunle Olubaniyi, M.B,B.S [2]
Definitions
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Management
Shown below is an algorithm showing acute pericarditis management.[1]
Characterize the symptoms: ❑ Prodrome: | |||||||||||||||||||||||||||||||||
Auscultation: ❑ Pericardial rub | |||||||||||||||||||||||||||||||||
Perform ECG: ❑ Convexly elevated J-ST segment | |||||||||||||||||||||||||||||||||
Echocardiography: ❑ Effusion types B- D according to Horowitz classification | |||||||||||||||||||||||||||||||||
Evidence of pericardial effusion | Order lab tests: ❑ Inflammation markers: ♦ESR ♦CRP ♦LDH ❑ Markers of myocardial lesion: ♦Troponin I ♦CK MB | ||||||||||||||||||||||||||||||||
EKG Staging
Horowitz Classification
Dos
Don'ts
References
- ↑ Maisch B, Seferović PM, Ristić AD, Erbel R, Rienmüller R, Adler Y; et al. (2004). "Guidelines on the diagnosis and management of pericardial diseases executive summary; The Task force on the diagnosis and management of pericardial diseases of the European society of cardiology". Eur Heart J. 25 (7): 587–610. doi:10.1016/j.ehj.2004.02.002. PMID 15120056.