23 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... #Diagnosis #Cardiology ... #ACS #Unstable ... #Angina #NSTEMI ... : The Only EKG Book
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Algorithm • STEMI ... • NSTEMI (Troponin ... Positive) / Unstable Angina ... Coronary #Syndrome #ACS ... Management #Algorithm #cardiology
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
electrocardiogram in the ACS ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
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 ... Recurrent/persistent rest ... angina despite ... low (1-2) risk, +ECG ... catheterization #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... ST elevation in aVR ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Epidemiology: • Rest ... younger than other ACS ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... segment is the only ECG ... EMN @EMNews #ACS ... #Algorithm #cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... before or after STEMI ... ST elevation in aVR ... DeWinter #TWaves #EKG ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... electrocardiogram #cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... depression; In aVR ... segments, usually best ... #Pericarditis #EKG ... #cardiology #diagnosis