11 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
at rest or progresses ... rapidly over a short ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
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
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable Angina ... Stress Test ... #ChestPain #Diagnosis ... #Cardiology #EBM
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology ... #Angina
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management Algorithm ... • Consider K+ binder ... potassium and ECG ... with narrow base, best ... potassium #high #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
safe #, but >500 DANGER ... - Short QT <300 ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... asymmetrical, similar or bigger ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Prinzmetal's Angina ... #differential #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... one post op Cardiology ... Unstable Angina ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... to be in ADHF starts ... ECG is vital while ... #algorithm #management ... #cardiology #treatment