11 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... - The plaque ruptures ... rapidly over a short ... is reflected by ECG ... #Diagnosis #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... week of becoming acute ... with history of angina ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
complexes >120 ms ... Ventricular origin • Capture ... and fusion beats ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
- Fusion beats ... - Brugada's sign ... - Josephson's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Large pericardial effusion ... expanding pericardial effusion ... poor prognostic signs ... #cardiology #differential ... #diagnosis #timeline
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... V2 • Wellens sign ... deviation) • Acute ... #EKG #diagnosis ... #differential #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... Signs of poor perfusion ... importantly, bedside ultrasound ... ECG is vital while ... algorithm #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... (Eiffel Tower sign ... Prinzmetal's Angina ... #cardiology #ecg
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
(+): Acute: ... nodes • Roth’s spots ... Differential Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology