78 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
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... , STEMI is the default ... features of the EKG ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation
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
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
hypertension Management ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
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
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... Signs of shock or ... peds #Pediatric #treatment