12 results
Acute Coronary Syndrome (ACS) Algorithm

Satya Patel, MD @SatyaPatelMD

#Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology
Coronary Syndrome (ACS ... Coronary #Syndrome #ACS ... #Algorithm #Chest ... #Pain #diagnosis ... #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... to identifying ACS ... #ChestPain #ACS ... #Algorithm #cardiology ... #Angina
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... chest pain • ... tolerance • Pain ... #cardiology #diagnosis ... #management
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Diagnosis Framework ... Myocarditis - CAD/ACS ... Pain: • Chest ... #Cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
with Stable Angina ... coronary syndrome (ACS ... #ChestPain #Diagnosis ... #Management #Algorithm ... #Cardiology #EBM
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Stable/Unstable Angina ... pain often not ... Diagnosis #Algorithm
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Incidence: common in APL ... effusions, weight gain ... initiation • Differential ... unless severe APLS ... #management #hematology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... algorithm to determine ... Unstable Angina ... • <12mo since ACS ... stratification #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... pain • Wellens ... of the leads l, aVL ... Equivalents #ECG #EKG #diagnosis ... #differential #
GRACE-1 Guidelines for Adult Patients with Recurrent Low-Risk Chest Pain

1) Pain > 3 hours - A
reasonably exclude ACS ... years - No further diagnostic ... troponin to exclude ACS ... and depression management ... #management