16 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... #cardiology #diagnosis ... #management
The JT Interval and Pro-Arrhythmic Risk
Measured from the J-point to the end of the T-wave, the
the setting of ventricular ... Branch Block - Ventricular ... with QRS ≥120 ms ... electrocardiogram #pathophysiology ... #ekg #ecg #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
persistent rest angina ... New/worsening MR ... Sustained ventricular ... low (1-2) risk, +ECG ... catheterization #cardiology
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
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Contraindications: Pts with ventricular ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
• Lateral (I + aVL ... aVF) • Right ventricular ... Normal: Upright in all ... Arrhythmogenic right ventricular ... Electrocardiogram #cardiology
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... current guidelines (eg ... Angina: consider ... ranolazine if angina ... #Algorithm #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... patient with right ventricular ... treatment for acute MI ... #HeartFailure #Cardiology ... #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
V5-6 • Left Ventricular ... prominent T waves • Ventricular ... Prinzmetal's Angina ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... • Avoid ARB/ACE-I ... /ARNI/MRA • Avoid ... ., ACE/ARB) need ... #cardiology #treatment