24 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Epidemiology: • Rest ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis ... #management
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
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... patients with Stable Angina ... Stress Test ... ISCHEMIA #Stable #Angina ... #Algorithm #Cardiology
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 ... catheterization #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
combined with various criteria ... negative Reller Criteria ... negative Bouza Criteria ... probably much higher (e.g ... is proposed: #Management
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... had gained 15 kg ... transthoracic echocardiogram ... meeting diagnostic criteria ... pocus #clinical #cardiology
Right heart dysfunction and failure in heart failure with preserved ejection fraction: mechanisms and management 
Source:
mechanisms and management ... #Diagnosis #Cardiology ... #Echocardiogram ... CongestiveHeartFailure #RVFailure #Criteria
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... Liver function tests ... #HeartFailure #Cardiology ... #Management