16 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... segment is the only ECG ... EMN @EMNews #ACS ... myocardial #infarction #diagnosis ... #coronary #syndrome
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... ST elevation in ACS ... includes ACS vs ... instead of ACS.
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... (ACS) Definitions ... is reflected by ECG ... #Diagnosis #Cardiology ... #ACS #Unstable
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... women • DDx: Acute ... leads with STE in avR ... wave inversion in avL ... #ECG #EKG #diagnosis
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
Reciprocal STD in I & aVL ... Biphasic T-wave in aVL ... classic pattern of Acute ... InferoPosterior transmural ischemia ... #EKG #STEMI #InferoPosterior
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
This is not for acute ... coronary syndrome ... (ACS) evaluation ... Angina #ChestPain #Diagnosis ... Management #Algorithm #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point • De Winter syndrome ... ST elevation in aVR ... of the leads l, aVL ... ischemia in LVH ... #EKG #diagnosis
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
(ACS) Hyperacute ... normally inverted in aVR ... In leads l, I, aVL ... #ACS #Progression ... #diagnosis #electrocardiogram
TiMi and GRACE Risk scores for mortality in Acute Coronary Syndrome (ACS). 

Abbreviations: ACS, acute coronary
Coronary Syndrome ... (ACS). ... Abbreviations: ACS ... ; ECG, electrocardiogram ... #Diagnosis #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... visualization with use of ultrasound