22 results
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
(+LR 2.6) - Cardiac ... - History - EKG ... SatyaPatelMD #ChestPain ... #Algorithm #cardiology ... #Angina
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Stable/Unstable Angina ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology ... #Algorithm #causes
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... • Vasculature: PE ... #Pain #ChestPain ... #Differential #Diagnosis ... #Causes #Cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable Angina ... LMCA lesion -> Cardiac ... #ChestPain #Diagnosis ... #Cardiology #EBM
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
chest pain • ... troponin elevation Diagnosis ... changes on tele/ECG ... tests in cath lab Treatment ... #cardiology #diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... Well score for PE
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
- Differential Diagnosis ... Algorithm May ... dizziness, syncope, chest ... #Arrhythmias #Cardiology ... #Algorithm #causes
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
pain - PE will ... collapse of RV - Treatment ... #Pericardial #Cardiac ... #Becks #Triad #Diagnosis ... #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
findings in acute PE ... evaluating for other causes ... of cardio-pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... : EKG ($), ECHO ... Nuclear SPECT ($$$), PET ... Stress #Testing #cardiology