23 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
, STEMI 1 STABLE ... pain occurs at rest ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
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 ... Sustained ventricular ... low (1-2) risk, +ECG ... catheterization #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX ... #Clinical #Cardiology
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Medications • Ventricular ... No prognostic value ... Osborn #JWave #Diagnosis ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
Ultrasound Right Ventricular ... ” EI > 1 - POCUS ... echocardiogram #psax ... #diagnosis #cardiology ... #pocus
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Dissection on POCUS ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology ... #clinical #plax
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
85% of predicted value ... Contraindications: Pts with ventricular ... arrythmias Diagnostics ... : EKG ($), ECHO ... Stress #Testing #cardiology
Echocardiography
Right ventricular function can be assessed using several methods and echocardiography is generally the first‐line tool
Echocardiography Right ventricular ... independent prognostic value ... #Diagnosis #Cardiology ... #POCUS #Echocardiogram
Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary
Abnormalities (WMA) on POCUS ... breath and ischemic EKG ... changes (but no STEMI ... Abnormalities #WMA #POCUS ... #clinical #cardiology
Right Ventricular Size and Measurements on POCUS Echocardiogram
 - Proximal Outflow Tract (PLAX View) >30 mm
Right Ventricular ... Measurements on POCUS ... #Measurements #POCUS ... Echocardiogram #diagnosis ... #cardiology