9 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... segment is the only ECG ... #Algorithm #cardiology ... myocardial #infarction #diagnosis ... #coronary #syndrome
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... (ACS) Definitions ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Artery Thrombus ... “Mother of all ... Anterior wall STEMI ... Cardiogenic shock, ECG ... CathLab #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... #ekg #differential ... #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... at (or 40-60 ms after ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
artery vasospasm ... younger than other ACS ... artery ... changes on tele/ECG ... Prinzmetal #Angina #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... STE: "Pardee's sign ... • Epicardial artery ... #cardiology #ecg ... #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... • Preoperative coronary ... stratification #diagnosis