11 results
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST ... that can point ... #EKG #ECG #STElevation ... #STSegment #Differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... of the leads l, aVL ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... associated with ST ... Variable troponin elevation ... changes on tele/ECG ... #management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... Prinzmetal's Angina ... #ST #STEMI #Segment ... #Elevation #differential ... #ecg #ekg #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
elevation in ACS ... elevation: Differential ... aVR • Classic EKG ... #differential # ... cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... wave inversion in avL ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... elevations. ... The mother of all ... #STEMI #EKG #clinical
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Myocardial injury (ST ... elevation), Low ... agent, steroids, AC ... Myocarditis #diagnosis #management
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... atrial rhythm with ST ... elevations. ... The mother of all
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... current guidelines (eg ... Angina: consider ... diet, exercise, cardiac ... #cardiology