7 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Vasospastic (Prinzmetal) Angina ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis ... #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Chest pain, pericarditis ... gallop • Abnormal ECG ... cardiac death Management ... #Management #Cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable Angina ... Coronary CTA (making clear ... ISCHEMIA #Stable #Angina ... #ChestPain #Diagnosis ... #Cardiology #EBM
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... pedal edema, and clear ... expiration not meeting diagnostic ... Echocardiogram #a4c ... pocus #clinical #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... depression Pericarditis ... Prinzmetal's Angina ... #differential #diagnosis ... #cardiology #ecg
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... one post op Cardiology ... Unstable Angina ... medical and surgical management ... stratification #diagnosis