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Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... Unstable Angina, NSTEMI ... , STEMI 1 STABLE ... period of time. 3 NSTEMI ... - During an NSTEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left ... ST depressions and ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... diffuse PR dep) NSTEMI ... big R or R/S>I STEMI ... #cardiology #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... aVR • Posterior STEMI ... anterior leads) #STEMI ... #Equivalents #ECG
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
ECGs - Syncope Syndromes ... WPW - delta wave and ... dagger Q lat>inf ... #ECG #EKG #Checklist ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... interval J Wave Syndromes ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
500 DANGER - Short ... QT <300-360 ms: ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... de pointes • Short ... WolffParkinson-White syndrome ... @AmyChung #EKG ... #Electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... indicated • EKG ... Obtain EKG if: ... risk Chest X-ray ... stress testing may
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... associated with a short ... • B: Brugada Syndrome ... or short QT syndrome ... #cardiology #differential