11 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable Angina ... coronary syndrome (ACS ... #Stable #Angina ... #ChestPain #Diagnosis ... #Cardiology #EBM
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Aortic Stenosis - Ischemic ... Stable/Unstable Angina ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... to identifying ACS ... SatyaPatelMD #ChestPain ... #diagnosis #Algorithm ... #cardiology #Angina
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... chest pain • ... troponin elevation Diagnosis ... #cardiology #diagnosis ... #management
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... interstitial opacities - Fine ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... of the leads l, aVL ... deviation) • Acute ischemia ... Equivalents #ECG #EKG #diagnosis ... #differential #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Unstable Angina ... change CV risk Chest ... medical and surgical management ... stratification #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... → no signs of CXR ... Pharmacology: • ACE ... #management #cardiology
In the images on your left you can appreciate again the spectrum of findings seen in
a superimposed fine ... reticular pattern ... excluding UIP as diagnosis ... #Clinical #Radiology ... #CTChest #NSIP
GRACE-1 Guidelines for Adult Patients with Recurrent Low-Risk Chest Pain

1) Pain > 3 hours - A
years - No further diagnostic ... and depression management ... recommended #ChestPain ... GRACE #Guidelines #cardiology ... #management