15 results
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome on EKG ... history of recent angina ... - Abnormal T-wave ... Wellens #Syndrome #EKG ... #ecg #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Normal exercise ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis ... #management
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... dextrocardia, normal ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... summation gallop • Abnormal ... ECG, echocardiogram ... cardiac death Management ... #Management #Cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... CAG normal. ... LV angio shown. ... Angiogram #clinical #cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... , Symptoms and Management ... hepatomegaly - normal ... despite hx HTN) EKG ... Signs #Symptoms #Cardiology
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
and Management ... hemophilia type (e.g ... Chronic Management ... hemophilia treatment center ... #Management #treatment
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

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

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
not be subtle e.g ... 50 in GCA, but normal ... E.g. 80 yo ESR cutoff ... Start steroids if concern ... #Management