18 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... is reflected by ECG ... #Diagnosis #Cardiology ... #Angina #NSTEMI ... Text: The Only EKG
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... persistent rest angina ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
attributed to coronary artery ... younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... #cardiology #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... wave inversion in avL ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... What's the culprit artery ... #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
severe chest pain after ... close relative, ECG ... diagnosis was STEMI ... LV angio shown. ... Angiogram #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... after) the J point ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #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
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... “Mother of all ... Anterior wall STEMI ... Cardiogenic shock, ECG ... CathLab #clinical #cardiology
Algorithm for choosing the appropriate candidate for stress testing in patients with suspected coronary artery disease
suspected coronary artery ... (MI = myocardial ... metabolic equivalent; ECG ... evaluation of stable angina ... #ACS #stresstest