17 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... in ACS patients ... diagnosis includes ACS ... aVR instead of ACS ... #AVR #leadAVR #ecg
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Pathophysiology: ... Variable troponin elevation ... changes on tele/ECG ... #diagnosis #management
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... point • De Winter syndrome ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... have fever - ACS ... : • Pathophysiology ... unless worrisome EKG ... TLS #diagnosis #management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
interval J Wave Syndromes ... "pinched off" as ... Other Causes - STE can ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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 ... ACS) 5. ... controlled by ACE ... #cardiology
Tumor Lysis Syndrome
An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
Tumor Lysis Syndrome ... only if EKG changes ... Walid Malki, MD, MS ... #Tumor #Lysis #Syndrome ... TLS #oncology #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... NSAlDs, ACE-inhibitors ... channel blocker (eg ... #HeartFailure #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... • Avoid ARB/ACE-I ... hemodynamics (e.g ... LVEF recovery (e.g ... ., ACE/ARB) need
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Pathophysiology ... complete paralysis of all ... Electrodiagnostic studies - EMG ... axonal form • MRI ... #diagnosis #management