22 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... with history of angina ... Serial EKGS in pts ... #Diagnosis #Cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
at rest or progresses ... rapidly over a short ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
Glenohumeral Ligament ... Differential diagnosis ... shoulder #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Epidemiology: • Rest ... troponin elevation Diagnosis ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... segments, usually best ... seen in acute MI ... #Pericarditis #EKG ... #cardiology #diagnosis
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... angina despite ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
Handle Tear - MSK Radiology ... Meniscofemoral ligament ... BucketHandle #Tear #knee #mri ... #clinical #Radiology ... #diagnosis #msk
Prior anterior glenohumeral joint dislocation with Hill-Sachs fracture and Perthes lesion
Imaging Findings:
 • The arrow is
repair Differential diagnosis ... glenohumeral ligament ... lesion #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Septal (V1-2) • Anterior ... @AmyChung #EKG ... Electrocardiogram #cardiology ... #diagnosis #system
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... deWinter T waves - starts ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology