41 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
, STEMI 1 STABLE ... pain occurs at rest ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... features of the EKG ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation ... #STSegment #Differential
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
period without chest ... Serial EKGS in pts ... are crucial. ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... myocardial #infarction #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
accompanied by chest ... accompanied by chest ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
year old, severe chest ... close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management

Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Tachycardia (SVT) - Differential ... Diagnosis Framework ... Place patient in semi-recumbent ... #Diagnosis #Management ... #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Recurrent anginal chest ... changes on tele/ECG ... perform provocative tests ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest ... gallop • Abnormal ECG ... cardiac death Management ... #Management #Cardiology