16 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Epidemiology: • Rest ... changes on tele/ECG ... perform provocative tests ... in cath lab Treatment ... #cardiology #diagnosis
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable Angina ... Stress Test ... ISCHEMIA #Stable #Angina ... #Cardiology #EBM
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
at rest or progresses ... is reflected by ECG ... #Diagnosis #Cardiology ... GrepMed Recommended Text ... : The Only EKG Book
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
ACS Evaluation Algorithm ... Algorithm that ... - History - EKG ... Evaluation #diagnosis #Algorithm ... #cardiology #Angina
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... angina despite ... low (1-2) risk, +ECG ... catheterization #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
**Get baseline EKG ... noises or emotional stress ... family history) Treatment ... Syndrome #Diagnosis #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... to determine if stress ... test is indicated ... one post op Cardiology ... Unstable Angina
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Liver function tests ... causing acute distress ... Revascularization, treatment ... #HeartFailure #Cardiology