15 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
causing partial occlusion ... pain occurs at rest ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Recurrent/persistent rest ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
hour, Ant/Sept STEMI ... on EKG. ... Dissection #POCUS #Echocardiogram ... #PSAX #Clinical ... #Cardiology
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Abnormalities on POCUS Echocardiogram ... ECG with concerning ... Had RCA occlusion ... #clinical #cardiology ... #PSAX #Labeled
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Dissection on POCUS Echocardiogram ... STEMI on EKG ... Dissection #POCUS #Echocardiogram ... #cardiology #clinical ... #plax #clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... This was her EKG ... Confirmed to have LAD occlusion ... #clinical #cardiology ... #PSAX #WMA #Akinesis
Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary
(WMA) on POCUS Echocardiogram ... breath and ischemic EKG ... changes (but no STEMI ... Abnormalities #WMA #POCUS #Echocardiogram ... #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... HCM #clinical #echocardiogram ... #plax #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... determine if stress test ... indicated • EKG ... Obtain EKG if: ... - Cataract Plan