19 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 ... #ACS #Unstable ... : The Only EKG Book
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),
Chest Pain / ACS ... - History - EKG ... #Evaluation #diagnosis ... #Algorithm #cardiology ... #Angina
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Angina Stress ... Test -> ? ... coronary syndrome (ACS ... #Diagnosis #Management ... #Algorithm #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... - Differential Algorithm ... segment is the only ECG ... #cardiology #occlusionMI ... myocardial #infarction #diagnosis
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
angina despite ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Inpatient #CathLab ... catheterization #cardiology
Algorithm for choosing the appropriate candidate for stress testing in patients with suspected coronary artery disease
Algorithm for choosing ... metabolic equivalent; ECG ... Shows the diagnosis ... evaluation of stable ... angina.
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... LV angio shown. ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Vascular imaging → Test ... for APS, particularly ... • Provoked (e.g ... Workup #hematology #diagnosis ... #algorithm #hematology
Preoperative Risk Evaluation

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