26 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... EKGS in pts are crucial ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #Causes #cardiology ... #MRI
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... who can exercise should ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... segments, usually best ... seen in acute MI ... #ECG #electrocardiogram ... #cardiology #diagnosis
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... electrocardiogram, MI ... PASP: pulmonary artery ... #Diagnosis #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
attributed to coronary artery ... epicardial coronary artery ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... New/worsening MR ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Angiography or Cardiac ... TTE, TEE, CT or MRI ... #Embolism #diagnosis ... scoring #criteria #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Checklist for diagnosing ... MI in LBBB or Pacemaker ... Should see "Appropriate ... electrocardiogram #ecg ... #cardiology #lbbb