22 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... patient: high-risk ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
HEART Score and MACE
History
ECG
Age
Risk factors
Troponin
LOW RISK = HEART score ≤ 3

#HEART #Score #MACE #cardiology #diagnosis #risk
MACE History ECG ... Age Risk factors ... Troponin LOW RISK ... #MACE #cardiology ... #diagnosis #risk
HEART Score allows us to risk stratify low risk chest pain patients and get them out
HEART Score allows ... us to risk stratify ... low risk chest ... #Diagnosis #Cardiology ... RISK #MACE #ChestPain
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... or high (5-7) risk ... TIMI low (1-2) risk ... TIMI low (1-2) risk ... catheterization #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
2.6) - Cardiac risk ... - History - EKG ... findings - Age - Risk ... SatyaPatelMD #ChestPain ... diagnosis #Algorithm #cardiology
2 Percent MACE Image - After calculating the risk for acute coronary syndrome, select the corresponding
calculating the risk ... (i.e. highest) risk ... , if the HEART score ... is 0 and the risk ... #PatientInfo #Cardiology
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... waves • Pseudo-STEMI ... manifestations and risk ... #ECG #electrocardiogram ... #cardiology #diagnosis