8 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... is reflected by ECG ... #Diagnosis #Cardiology ... #Angina #NSTEMI ... : 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
Recurrent/persistent rest ... angina despite ... Sustained ventricular ... low (1-2) risk, +ECG ... catheterization #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... troponin elevation Diagnosis ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... - History - EKG ... #Evaluation #diagnosis ... #Algorithm #cardiology ... #Angina
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... elevation in aVR • Posterior ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... @AmyChung #EKG ... Interpretation #ECG ... Electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... Prinzmetal's Angina ... #cardiology #ecg ... #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... Unstable Angina