Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 β€’ Rest angina attributed to coronary artery vasospasm.
 β€’ Patients often
Epidemiology: β€’ Rest ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis ... #management
Severe Tricuspid Regurgitation on JVP Examination

What information about the patient do we get from this #JVP
Cardiac rhythm? ... Regurgitation #TR #Lancisis ... #Sign #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
β–Ί
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable Angina ... Stress Test ... LMCA lesion -> Cardiac ... 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 ... #Indications #Cardiac ... catheterization #cardiology
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
Exam - Hi-Res Video ... www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... ventricle and is best ... #Video #Signs # ... Cardiology
β–Ί
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
current guidelines (eg ... Angina: consider ... ranolazine if angina ... diet, exercise, cardiac ... #Algorithm #cardiology
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity
Problem - Immune checkpoint inhibitors (ICIs) are associated with
abnormal screening tests ... Abnormal screening tests ... abnormal screening tests ... prednisone 1-2 mg/kg ... Cardiotoxicity #cardiology
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
of an adverse cardiac ... second troponin test ... a provocative test ... #Management #PatientInfo ... #Cardiology #ChestPain