14 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... rapidly over a short ... changes and a rise ... #Diagnosis #Cardiology ... #ACS #Unstable
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... troponin elevation Diagnosis ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
2.6) - Cardiac risk ... - History - EKG ... #Evaluation #diagnosis ... #Algorithm #cardiology ... #Angina
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 ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
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 ... , +ECG changes or ... catheterization #cardiology
TiMi and GRACE Risk scores for mortality in Acute Coronary Syndrome (ACS). 

Abbreviations: ACS, acute coronary
TiMi and GRACE Risk ... Abbreviations: ACS ... Cr, creatinine; ECG ... #Diagnosis #Cardiology ... #Risk #Scores #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... Obtain EKG if: ... one post op Cardiology ... Unstable Angina ... stratification #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... deWinter T waves - starts ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Liver function tests ... treatment for acute MI ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
with increased risk ... de pointes • Short ... Interpretation #ECG ... Electrocardiogram #cardiology ... #diagnosis #system