Pseudonormalization of Wellens' Waves
A male in his 60's complained of intermittent chest pain all day. He was vague as to whether there was active chest pain, but it was definitely better at the time I talked to him.Here is his initial ECG:There is minimal ST elevaton and there are subtle T-wave inversions in V2-V5, highly suggestive of Wellens' syndromeIn Wellens' syndrome, the artery is open. T-wave inversion, as I've pointed out countless times (and hope I'm not belaboring) is indicative of reperfusion of the infarct-related vessel.BP was elevated, pulse lowered to 45. He received ASA, Plavix 600mg, Heparin, and a Nitro drip.As a matter o...
Source: Dr. Smith's ECG Blog - March 14, 2014 Category: Cardiology Authors: Steve Smith Source Type: blogs
Clopidogrel
is a:
a) P2Y12 receptor antagonist
b) GP IIb/IIIa inhibitor
c) Vitamin K antagonist
d) None of the above
Correct answer: a) P2Y12 receptor antagonist
Clopidogrel, ticlopidine and prasugrel are P2Y12 receptor antagonists. GP IIb/IIIa inhibitors include abciximab, eptifibatide and tirofiban. Warfarin and acenocoumarol are vitamin K antagonists. (Source: Cardiophile MD)
Source: Cardiophile MD - November 3, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ DM / DNB Cardiology Entrance P2Y12 receptor antagonist Source Type: blogs
Chest Pain in a Male in his 20's; Inferior ST elevation: Inferior lead "early repol" diagnosed. Is it?
A 20-something male presented from an outside facility with Chest pain. Vital signs were normal.History: Onset of CP 2.5 hours prior to ED arrival. "Tight and pressure, radiates to right arm, + nausea, + SOB. No thromboembolism risks, not pleuritic, no radiation to the back. No cardiac risk factors, no cocaine use.He came with this ECG from the outside facility, recorded 1 hour after pain onset:There is at least 2 mm of inferior ST elevation, with reciprocal ST depression in aVL, ST flattening in V4-V6, and T-wave inversion in V2.Is this inferior ST elevation due to "early repolarization"?No. ...
Source: Dr. Smith's ECG Blog - July 31, 2013 Category: Cardiology Authors: Steve Smith Source Type: blogs
Cardiology MCQ Test 5
Cardiology MCQ Online 5
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You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. W...
Source: Cardiophile MD - July 15, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
Cardiology MCQ Online 5
Time limit: 0
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You are welcome to try this MCQ set and share it among your friends. Answer key with explanation appears after you complete the test and submit it and press on the view questions button. We strongly advise you t...
Source: Cardiophile MD - July 15, 2013 Category: Cardiology Authors: Prof. Dr. Johnson Francis MD, DM, FACC, FRCP Edin Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
