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diagnosis ekg electrocardiogram evaluation acs algorithm approach cheatsheet chestpain differential equivalents ischemia management perioperative preop preoperative prinzmetal qrs risk stemi
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),
Chest Pain / ACS ... Ask about: - Changes ... - History - EKG ... diagnosis #Algorithm #cardiology ... #Angina
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... • Lateral (I + aVL ... Normal: Upright in all ... #Interpretation ... #cardiology #diagnosis
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
Approach to ECGs ... - RAD: AntLat MI ... Short QT <300-360 ms ... electrocardiogram #cardiology ... #interpretation
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... wave inversion in avL ... electrocardiogram #cardiology ... #Equivalents #Interpretation
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... Unstable Angina
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