6 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Normal exercise ... • Transient ST segment ... changes on tele/ECG ... #cardiology #diagnosis ... #management
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
history of recent angina ... - Abnormal T-wave ... Isoelectric ST segment ... #ecg #cardiology ... electrocardiogram #diagnosis
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... LV angio shown. ... diaphragmatic segments ... Angiogram #clinical #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Prinzmetal's Angina ... Post-cardioversion • Acute aortic ... #differential #diagnosis ... #cardiology #ecg
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... not be subtle e.g ... 50 in GCA, but normal ... Sufficient segment ... #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
risk (>5%): - Aortic ... one post op Cardiology ... Unstable Angina ... medical and surgical management ... stratification #diagnosis