28 results
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome ... on EKG Associated ... history of recent angina ... #EKG #ecg #cardiology ... electrocardiogram #diagnosis
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
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... in transmural injury ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
microvascular injury ... troponin elevation Diagnosis ... changes on tele/ECG ... #cardiology #diagnosis ... #management
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... cardiac death Management ... #Management #Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
ventricular arrythmias Diagnostics ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
acute cardiac injury ... Pericarditis, Tamponade EKG ... VF, Myocardial injury ... #Myocarditis #diagnosis ... #management #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... WolffParkinson-White syndrome ... @AmyChung #EKG ... Electrocardiogram #cardiology ... #diagnosis #system