13 results
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Acute Coronary Syndrome ... • STEMINSTEMI ... Positive) / Unstable Angina ... #Syndrome #ACS ... #cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... (ACS) Definitions ... #Diagnosis #Cardiology ... #Angina #NSTEMI ... Text: The Only EKG
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ). or 3-vessel coronary ... #AVR #leadAVR #ecg ... #electrocardiogram ... #diagnosis #ekg
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... segment is the only ECG ... #Algorithm #cardiology ... myocardial #infarction #diagnosis ... #coronary #syndrome
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis ... #management
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
leads with STE in avR ... wave inversion in avL ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable Angina ... severe ischemia -> Coronary ... syndrome (ACS) ... #ChestPain #Diagnosis ... #Cardiology #EBM
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
Progression of EKG ... changes in Acute Coronary ... Syndrome (ACS) ... In leads l, I, aVL ... #diagnosis #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point • De Winter syndrome ... ST elevation in aVR ... of the leads l, aVL ... #EKG #diagnosis ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
, not in aVL • ... , not in aVL, when ... lateral leads (I, aVL ... #cardiology #ecg ... #ekg #electrocardiogram