18 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
electrocardiogram in the ACS ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
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 ... Text: The Only EKG
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... segment is the only ECG ... EMN @EMNews #ACS ... #Algorithm #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
Unstable/cardiogenic ... persistent rest angina ... New/worsening MR ... 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 ... to identifying ACS ... - History - EKG ... #ChestPain #ACS ... diagnosis #Algorithm #cardiology
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
Here’s a deadly ECG ... this you must act ... Tombstones #SharkFins #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
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
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
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... TIMI III flow in all ... Initiative #Management #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... CathLab #clinical #cardiology