6 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Pathophysiology: ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis
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
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... • Lateral (I + aVL ... #Interpretation ... #ECG #Electrocardiogram ... #cardiology #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... Short QT <300-360 ms ... #EKG #diagnosis ... electrocardiogram #cardiology ... #interpretation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... wave inversion in avL ... #EKG #diagnosis ... 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 ... Obtain EKG if: ... one post op Cardiology ... Unstable Angina ... stratification #diagnosis