23 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
that results in injury ... in transmural injury ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion MI ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... with history of angina ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
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 ... persistent rest angina ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Vasospastic (Prinzmetal) Angina ... microvascular injury ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... = Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... LV angio shown. ... Angiogram #clinical #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
MI in LBBB or Pacemaker ... Criteria - Suspect STEMI ... #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology ... #Angina