15 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
a thrombus forms ... thrombus formation ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG ... from LMCA into aortic ... CathLab #clinical #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... without chest pain, as ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... STEMI on EKG ... - VCU Ultrasound ... #cardiology #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... An ECG may show ... larger shunt #ECG ... #EKG #Cardiology ... #ASD
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Echocardiogram ... ECG: AF. ... stroke in right MCA and ... Transesophageal #Ultrasound ... #Cardiology #Clinical
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
acceleration time; Ao = aorta ... McConnell sign ... view E. 60/60 sign ... cmls) #TTE #Echocardiogram ... RightVentricular #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 ... Obtain femoral arterial ... visualization with use of ultrasound ... Initiative #Management #Cardiology