46 results
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Aortic Stenosis - Ischemic ... Stable/Unstable Angina ... ChestPain #Noncardiac #Cardiology ... #Algorithm #causes
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
acute myocardial ischemia ... less likely to be caused ... the underlying cause ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... patients with Stable Angina ... #Stable #Angina ... #ChestPain #Diagnosis ... #Cardiology #EBM
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome on EKG ... infarction - Present in pain-free ... history of recent angina ... #ecg #cardiology ... electrocardiogram #diagnosis
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
- Angina pain develops ... Angina pain occurs ... thrombus formation causes ... is reflected by ECG ... #Diagnosis #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
chest pain • ... tolerance • Pain ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia ... Vasculitides 5% (PAN ... inflammation (e.g ... hypovolemia), Meds ... #Diagnosis #algorithm
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
with history of angina ... without chest pain ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
from CHF, Chest Pain ... Ischemia? ... Administer sedative & pain ... #bradycardia #diagnosis ... differential #management #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology ... #Angina