71 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Definitions - Stable ... , STEMI 1 STABLE ... the setting of a stable ... is reflected by ECG ... #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
Cath Lab ASAP: STEMI ... NSTEMI: 1. ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... electrocardiogram #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... Many authors state ... aVR is a good ECG ... sign of left main ... Clinical #EM #IM #Cardiology
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... Echocardiogram #POCUS ... #clinical #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Artery #Dissection #POCUS ... PSAX #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #cardiology
Priority-based management algorithm for the undifferentiated patient in PEA arrest
PEA (no pulse by manual palp +
Priority-based management ... Cardiac POCUS 3 ... placement - POCUS ... infusion / Push-dose ... electrical #activity #management
Post-MI Free Wall Rupture
1. What's the role of revascularization when presenting with late STEMI?
2. What are
presenting with late STEMI ... hemorrhagic pericardial effusion ... pursue surgical management ... FreeWall #Rupture #cardiology ... acuteMI #diagnosis #management