16 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... with history of angina ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Vasospastic (Prinzmetal) Angina ... younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... #cardiology #diagnosis
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Diamond-Forrester classification ... Ask about: - Changes ... - History - EKG ... diagnosis #Algorithm #cardiology ... #Angina
Yamaguchi cardiomyopathy on Electrocardiogram (EKG)
That time when a doctor tells you that you're "having a heart
Electrocardiogram (EKG ... ECG has been stable ... cardiomyopathy #ecg ... #hypertrophic # ... clinical #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... , high ICP Hypertrophy ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic ... EKG nonspecific, ... elevated LVEDP ==> MRI ... Cardiomyopathy #HOCM #HCM #clinical ... echocardiogram #plax #cardiology
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
(AV blocks) - ECG ... group-beating" on the ECG ... • This is a clinically ... blocks #AVBlock #cardiology ... #ekg #ecg #diagnosis
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Echocardiogram (A4C) ECG ... Cardiac MR shows ... #A4C #apical #hypertrophic ... #clinical #cardiology
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
current guidelines (eg ... Angina: consider ... ranolazine if angina ... Enroll in HFpEF clinical ... Management #Algorithm #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
in aVR, not in aVL ... Left Ventricular Hypertrophy ... Prinzmetal's Angina ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram