ECG qtc table management clinical treatment ekg cardiology stemi em syndrome angina nstemi

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Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina

Acute Coronary Syndrome ... Angina, NSTEMI, ... STEMI 1 STABLE ... is reflected by ECG ... Text: The Only 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 ... NSTEMI: 1. ... persistent rest angina ... low (1-2) risk, +ECG ... catheterization #cardiology

It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular

probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia

Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology

diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior

Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography

55 year old, severe chest pain after death of close

close relative, ECG ... diagnosis was STEMI ... LV angio shown. ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab

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Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
• Rest angina attributed to coronary artery vasospasm.
• Patients often

Raynaud, migraine, etc ... changes on tele/ECG ... tests in cath lab Treatment ... #cardiology #diagnosis ... #management

There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,

suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior

Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”. 55 year old

Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy

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Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
• Upsloping convex STE: "Pardee's sign" +

Diagnosis Framework STEMI ... Prinzmetal's Angina ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram

Consensus Indications for Irradiated RBC Transfusions:

Cellular blood components are irradiated for the prevention of TA-GVHD. Transfused

disorders (DiGeorge Syndrome ... antithymocyte globulin, etc ... Hematopoietic stem ... HLA-selected products (e.g ... Hematology #BloodBank #Management

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