58 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
at rest or progresses ... - A STEMI is ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
Can’t Miss ECG Findings for the Emergency Medicine Provider
- Christian Rose @ProperPolymath

#Diagnosis #Cardiology #ECG #EKG #CantMiss
Can’t Miss ECG Findings ... ProperPolymath #Diagnosis ... #Cardiology #ECG ... #EKG #CantMiss ... ALiEM #MustKnow #STEMI
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
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
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 ... Recurrent/persistent rest ... angina despite ... low (1-2) risk, +ECG ... catheterization #cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... after STEMI - ... DeWinter #TWaves #EKG ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
-V3 Specific for ... with history of angina ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Epidemiology: • Rest ... troponin elevation Diagnosis ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
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