8 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
rapidly over a short ... is reflected by ECG ... changes and a rise ... #Diagnosis #Cardiology ... Text: The Only EKG
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... with history of angina ... ; but T wave changes ... #ECG #Electrocardiogram ... #Diagnosis #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
ASAP: STEMI NSTEMI ... persistent rest angina ... low (1-2) risk, +ECG ... changes or troponin ... catheterization #cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #EKG #ECG #Electrocardiogram ... #Cardiology #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Prinzmetal's Angina ... dissection • Sodium-channel ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
current guidelines (eg ... Angina: consider ... nitrates, calcium channel ... fluid status (hypervolemia ... Management #Algorithm #cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
fever: - Fever + ANC ... vancomycin (if SSTI or port ... rise from last lab ... interventional radiology ... plasmapheresis Hypercalcemia