20 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology ... infarction #diagnosis #coronary
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... that results in injury ... in transmural injury ... is reflected by ECG ... #Diagnosis #Cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... SYNDROME) - CORONARY ... TRAUMATIC BRAIN INJURY ... #Differential # ... Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... wave inversion in avL ... electrocardiogram #cardiology ... Interpretation #differential
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
: Pseudo-acute coronary ... Paraclinical assessment: EKG ... cause, vasospasm → Coronary ... Diagnosis #Causes #cardiology ... #MRI
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... “Mother of all ... Anterior wall STEMI ... Cardiogenic shock, ECG ... CathLab #clinical #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... place IMPELLA Coronary ... TIMI III flow in all ... Initiative #Management #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ). or 3-vessel coronary ... Subepicardial atrial injury ... #differential # ... cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
attributed to coronary ... younger than other ACS ... microvascular injury ... changes on tele/ECG ... Prinzmetal #Angina #cardiology
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 ... #differential # ... cardiology #electrocardiogram