7 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
associated with ST ... • Normal exercise ... changes on tele/ECG ... #cardiology #diagnosis ... #management
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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history of recent angina ... - Abnormal T-wave ... - Isoelectric ST ... #ecg #cardiology ... electrocardiogram #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... : Acute STEMI, Aortic ... T wave in V1 - normal ... #EKG #diagnosis ... electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Prinzmetal's Angina ... Elevation of Normal ... Post-cardioversion • Acute aortic ... #cardiology #ecg
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
Intraoperative Cardiac Free Wall Rupture
Free wall rupture...yes we can save them
Following a syncope event, a 72-y
cardiac diseases, ECG ... showed normal sinus ... rhythm, ST depression ... pericardial effusion, CT ANGIO ... ruled out aortic
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Presentation: • Mimics normal ... heart failure • Aortic ... recognition and management ... Cardiomyopathy #Cardiology ... #OBGyn #Diagnosis