10 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... is reflected by ECG ... #Diagnosis #Cardiology ... #ACS #Unstable ... : The Only EKG Book
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
Here’s a deadly ECG ... this you must act ... *will* go into Cardiac ... Tombstones #SharkFins #ecg ... #ekg #electrocardiogram
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 ... low (1-2) risk, +ECG ... #Indications #Cardiac ... #catheterization ... #cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Angina Stress Test ... LMCA lesion -> Cardiac ... Catheterization ... coronary syndrome (ACS ... #Algorithm #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... changes on tele/ECG ... perform provocative tests ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ab to AChR blocks ... dystrophy - Brain stem ... Serologic and EMG ... Labs: - AchR antibodies ... Gravis #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... indicated • EKG ... Obtain EKG if: ... indication of AC ... • <12mo since ACS
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Liver function tests ... Nephrotoxins (e.g ... NSAlDs, ACE-inhibitors ... channel blocker (eg
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... • Avoid ARB/ACE-I ... hemodynamics (e.g ... LVEF recovery (e.g ... ., ACE/ARB) need
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
current guidelines (eg ... recent PCl or ACS ... ACE inhibitor: consider ... ARB: if ACE inhibitor ... controlled by ACE