9 results
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... to identifying ACS ... #ChestPain #ACS ... #Algorithm #cardiology ... #Angina
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... (ACS) Definitions ... #Diagnosis #Cardiology ... #ACS #Unstable ... Text: The Only EKG
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
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... EMN @EMNews #ACS ... #cardiology #occlusionMI ... myocardial #infarction #diagnosis ... #coronary #syndrome
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... acute coronary syndrome ... (ACS) evaluation ... #ChestPain #Diagnosis ... #Cardiology #EBM
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... have fever - ACS ... WBC >100k, + lab signs ... unless worrisome EKG ... #TLS #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... event, follow ACC ... indication of AC ... Unstable Angina ... • <12mo since ACS
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... point • De Winter syndrome ... of the leads l, aVL ... #EKG #diagnosis ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... (Eiffel Tower sign ... Prinzmetal's Angina ... #cardiology #ecg