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Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI 1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... is reflected by ECG ... #Diagnosis #Cardiology ... #Angina #NSTEMI ... Text: The Only EKG
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... segment is the only ECG ... #Algorithm #cardiology ... myocardial #infarction #diagnosis ... #coronary #syndrome
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
attributed to coronary ... younger than other ACS ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
“Mother of all ... old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG ... CathLab #clinical #cardiology
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 Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... wave inversion in avL ... - early inferior ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... of the leads l, aVL ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... #ekg #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... segments and T waves should ... Prinzmetal's Angina ... #cardiology #ecg ... #ekg #electrocardiogram
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... bone marrow or stem ... on MRA/CTA • Anterior ... count in the CSF should ... • EEG: With persistent
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Unstable Angina ... • Preoperative coronary ... stratification #diagnosis
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