11 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... at rest or progresses ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Epidemiology: • Rest ... angina attributed ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome ... on EKG Associated ... history of recent angina ... FOAMfrat #Wellens #Syndrome ... #EKG #ecg #cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable Angina ... Stress Test ... acute coronary syndrome ... ISCHEMIA #Stable #Angina ... Management #Algorithm #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... - Syncope Syndromes ... mchlwng #Syncope #Syndromes ... #ECG #EKG #Checklist ... #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
Recurrent/persistent rest ... angina despite ... low (1-2) risk, +ECG ... catheterization #cardiology
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management checklist ... Liver function test ... septic shock (e.g ... abdominal compartment syndrome ... #Pancreatitis #Checklist
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Evaluation - EKG ... Liver function tests ... cardiogenic shock #Checklist ... #HeartFailure #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
interval J Wave Syndromes ... involved • Brugada Syndrome ... Prinzmetal's Angina ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... Unstable Angina