11 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... polymorphic ventricular tachycardia ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Definitions - Stable ... , STEMI 1 STABLE ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Inpatient #CathLab ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... deWinter T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... underlying cause #Stable ... Treatment #management #cardiology
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... Signs of shock or ... supraventricular #tachycardia
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... Treatment #management #cardiology ... #algorithm
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... block; and sinus tachycardia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... ECG is vital while ... #differential #algorithm ... #management #cardiology ... #treatment #table