11 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
that results in injury ... in transmural injury ... is reflected by ECG ... #Diagnosis #Cardiology ... #Angina #NSTEMI
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Pathophysiology: ... microvascular injury ... changes on tele/ECG ... #cardiology #diagnosis
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... LV angio shown. ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... of the leads l, aVL ... #EKG #diagnosis ... #differential #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... - History - EKG ... #Evaluation #diagnosis ... #Algorithm #cardiology ... #Angina
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Subepicardial atrial injury ... : Differential diagnosis ... • Vereckei criteria ... #cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... is transmural injury ... isolated to I & aVL ... @EM_RESUS #STEMI ... #Cardiology #Clinical
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... acute cardiac injury ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... Prinzmetal's Angina ... STElevation #ST #STEMI ... #cardiology #ecg
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Change in clinical ... one post op Cardiology ... Unstable Angina ... stratification #diagnosis