21 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Angina Stress ... #Angina #ChestPain ... #Diagnosis #Management ... #Algorithm #Cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Definitions - Stable ... STEMI 1 STABLE ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Vasospastic (Prinzmetal) Angina ... Epidemiology: • Rest angina ... changes on tele/ECG ... #cardiology #diagnosis ... #management
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
- History - EKG ... SatyaPatelMD #ChestPain ... diagnosis #Algorithm #cardiology ... #Angina
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... cardiac death Management ... • Antlviral (lymphocytic ... Myocarditis #Diagnosis #Management ... #Cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Infarction • Stable ... /Unstable Angina ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
persistent rest angina ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... catheterization #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Treatment: - Lymphocytic ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
monotherapy (2017 AHA/ACC ... valve (2017 AHA/ACC ... #Management #Cardiology ... #Target #DOAC #Table
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm