13 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 ... Text: The Only EKG
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... with history of angina ... without chest pain, as ... Serial EKGS in pts ... #Diagnosis #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... ST elevation in ACS ... includes ACS vs ... aVR instead of ACS
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... Ectopic atrial rhythm ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... inversion in avL ... #EKG #diagnosis ... electrocardiogram #cardiology
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 ... tests in cath lab ... #cardiology #diagnosis
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
current guidelines (eg ... ACS) 5. ... ARB: if ACE inhibitor ... Angina: consider ... controlled by ACE
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... Prinzmetal's Angina ... #cardiology #ecg ... #ekg #electrocardiogram
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Abnormality on POCUS ... EKG: nsr, TWI v1 ... What's his diagnosis ... Resolution: ACS. ... #PLAX #LAD
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... event, follow ACC ... indication of AC ... Unstable Angina ... • <12mo since ACS