12 results
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
specific for a critical ... descending (LAD) coronary ... #TypeA #TypeB #Classification ... Types #Cardiology #EKG ... #ECG #Electrocardiogram
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... Cardiogenic shock, ECG ... from LMCA into aortic ... established, but died on table ... Angiogram #CathLab #clinical
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Differential Diagnosis by Classification ... Mechanical • Aortic ... Medication side effect (e.g ... Differential #Diagnosis #Classification ... #Table #Causes
Severity of Aortic Stenosis in Adults 
Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
Severity of Aortic ... as follows: aortic ... >50 mmHg (2) (Table ... common problem in clinical ... AorticStenosis #Classification
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
Coronary Ostium ... Obstruction by Aortic ... Echocardiogram Aortic ... elevations in different ECG ... Echocardiogram #clinical
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... Hypercoagulable states • Clinical ... dysfunction common, Aortic ... Usually single territory ... Marantic #diagnosis #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... risk (>5%): - Aortic ... Severe Aortic stenosis ... • Preoperative coronary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... range of possible clinical ... ECG is vital while ... cath if acute coronary ... cardiology #treatment #table
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
with previously stable ... risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... Coarctation of aorta
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
without biopsies • Coronary ... general surgery (e.g ... . aortic aneurysm ... cancer surgery (e.g ... Perioperative #Procedures #Table