13 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
electrocardiogram in the ACS ... anatomically oriented ST-segment ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #Equivalents
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... or R/S>I STEMI Equivalents ... wave inversion in avL ... #EKG #diagnosis ... cardiology #STEMI #Equivalents
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... with reciprocal ST ... be present in all ... inverted #Diagnosis #EM ... IM #Cardiology #EKG
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... of the leads l, aVL ... leads) #STEMI #Equivalents ... #ECG #EKG #diagnosis
Scabies (Sarcoptes scabiei) - CDC 2021 Treatment Guidelines
Recommended Regimen:
 • permethrin 5% cream applied to all
scabiei) - CDC 2021 Treatment ... cream applied to all ... ivermectin 200 μg/kg ... lotion applied to all ... Guidelines #Management #STI
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... elevation (STE) ... any R-wave at all ... morphology") #Clinical #EM ... #Cardiology #EKG
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Myocardial injury (ST ... Low voltage Treatment ... agent, steroids, AC
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... associated with ST ... • Transient ST ... changes on tele/ECG ... tests in cath lab Treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... dependent DM ACS ... indicated • EKG ... Obtain EKG if: ... Cataract Plan for Meds
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ST ... with reciprocal ST ... depression in aVL ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior