21 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
at rest or progresses ... thrombus formation causes ... 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 ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis ... #management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Angina Stress ... Test -> ? ... LMCA lesion -> Cardiac ... #Angina #ChestPain ... #Algorithm #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
angina despite ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
physical activity - Nausea ... (+LR 2.6) - Cardiac ... - History - EKG ... diagnosis #Algorithm #cardiology ... #Angina
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... Stress #Testing #cardiology ... #management #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Checklist #Diagnosis #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... In this case, the ... Michael Macias, EM ... #Radiology #POCUS ... #CardiacUS #ParsternalLong
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... determine if stress test ... one post op Cardiology ... Unstable Angina ... medical and surgical management