5 results
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
with history of angina ... period without chest ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
year old, severe chest ... close relative, ECG ... diagnosis was STEMI ... LV angio shown. ... Ventriculogram #Angiogram
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Vasospastic (Prinzmetal) Angina ... chest pain • ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Intraabdominal - Orthopedic ... Unstable Angina ... change CV risk Chest ... stratification #diagnosis
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