13 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... - A STEMI is ... is reflected by ECG ... #Diagnosis #Cardiology ... #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
Cath Lab ASAP: STEMI ... persistent rest angina ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... Miss Signs of Ischemia ... wave inversion in avL ... early inferior MI ... electrocardiogram #cardiology
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
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
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 ... deviation) • Acute ischemia ... #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
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... TIMI III flow in all ... Initiative #Management #Cardiology
Evolution of MRI Findings in Stroke

MR images at five subsequent time points in a 67-year-old woman
Evolution of MRI ... row) of an acute ischemic ... hyperintense at all ... CVA #Clinical #Radiology ... Interpretation #Findings #Neurology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Prinzmetal's Angina ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram