18 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
at rest or progresses ... is reflected by ECG ... #Diagnosis #Cardiology ... GrepMed Recommended Text ... : The Only EKG Book
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
troponin elevation Diagnosis ... changes on tele/ECG ... perform provocative tests ... in cath lab Treatment ... #cardiology #diagnosis
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... Angina Stress ... Test -> ? ... #Diagnosis #Management ... #Algorithm #Cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology ... #Angina
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 ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... catheterization #cardiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... Algorithm Cardiovascular ... Infarction • Stable ... /Unstable Angina ... ChestPain #Noncardiac #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management Algorithm ... potassium and ECG ... with narrow base, best ... potassium #high #diagnosis ... #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... one post op Cardiology ... Unstable Angina ... stratification #diagnosis