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ekg electrocardiogram differential acs equivalents evaluation interpretation management algorithm cardiac catheterization cathlab cheatsheet chestpain definitions elevation encephalopathy indications inpatient ischemia
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI 1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... is reflected by ECG ... #Diagnosis #Cardiology ... #ACS #Unstable ... #Angina #NSTEMI
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
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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... wave inversion in avL ... early inferior MI ... #EKG #diagnosis ... electrocardiogram #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
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
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
• Lateral (I + aVL ... aVF) • Right ventricular ... Arrhythmogenic right ventricular ... Electrocardiogram #cardiology ... #diagnosis #system
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 ... Obtain EKG if: ... one post op Cardiology ... Unstable Angina ... stratification #diagnosis
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
bone marrow or stem ... Etiology: • Pathophysiology ... Vascular narrowing on MRA ... circulation: MCA ACA ... • EEG: With persistent
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