37 results
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... : Pseudo-acute coronary ... Paraclinical assessment: EKG ... cause, vasospasm → Coronary ... #cardiology #MRI
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
specific for a critical ... descending (LAD) coronary ... artery • May ... Classification #Types #Cardiology ... #Diagnosis
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
Chest pain, good ... UltrasoundJelly #Clinical ... #Diagnosis #POCUS ... WallMotionAbnormality #Coronary ... #Artery
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Artery Thrombus ... Cardiogenic shock, ECG ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... TTE, TEE, CT or MRI ... #Artery #Embolism ... #diagnosis #differential ... scoring #criteria #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... muscle relaxation & coronary ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... period without chest ... Serial EKGS in pts ... #Diagnosis #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Recurrent anginal chest ... troponin elevation Diagnosis ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Diagnosis Algorithm ... Artery Disease ... • Stable Angina ... • Acute Coronary
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). ... ). or 3-vessel coronary ... diagnosis includes ... #ekg #differential ... #cardiology