27 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... infarction #diagnosis #coronary ... #syndrome
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... in Cardiogenic shock ... , ECG predicted ... with VT storm. ... Angiogram #CathLab #clinical
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
attributed to coronary ... younger than other ACS ... changes on tele/ECG ... tests in cath lab Treatment ... cardiology #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Abdominal compartment syndrome ... Treatment Goals ... ) UOP > 0.5 cc/kg ... #management
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... Chest Pain • ECG ... Connect ECG Leads ... #management #cardiology
Acquired von Willebrand Syndrome - Diagnosis and Management
 • Autoantibodies to vWF: Lymphoproliferative disorders (e.g. lymphoma,
von Willebrand Syndrome ... Lymphoproliferative disorders (e.g ... Myeloproliferative disorders (e.g ... #treatment #hematology ... #differential
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
: - Neuro: AMS ... have fever - ACS ... unless worrisome EKG ... TLS #diagnosis #management ... #hematology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... agent, steroids, AC ... Myocarditis #diagnosis #management
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Erythematosus (SLE) Clinical ... Demyelinating Syndrome ... Lumbar Puncture, EEG ... (for secondary APS ... cerebritis #diagnosis #management
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
including: • Coronary ... (e.g., long QT ... syndrome, ARVC) ... EKG Findings ... more intensive treatment