8 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
to coronary artery ... epicardial coronary artery ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis
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
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
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
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
in-hospital mortality in inferior ... MI • PAPi < 1.85 ... Catheterization #RHC #PACatheter ... #catheter #diagnosis ... #cardiology #swanganz
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Prinzmetal's Angina ... • Epicardial artery ... #differential #diagnosis ... #cardiology #ecg
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
substance use • IV catheter ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... #cardiology #infectiousdiseases