Understanding Atypical Presentations of Acute Coronary Syndromes

This episode covers Chapter 78 of Rosen's Emergency Medicine. Acute Coronary Syndromes... its a gooder.

Acute Coronary Syndromes Part A (Monday)

1. Define Stable Angina, UA, AMI
2. Describe the pathophysiology of AMI
3. What are the components of prehospital management of AMI
4. List population RFs for CAD.
   1. Do they matter in the evaluation of a specific patient?
5. List RFs for atypical presentation of ACS. What are the risks of atypical presentations?
6. List 8 early complications of AMI and briefly describe the management of each one.
7. Describe the progression of ECG changes in STEMI
8. List expected ECG changes (ST↑ and reciprocal ST↓) and culprit vessel for the following:
   1. Anterior wall MI
   2. Lateral wall MI
   3. Inferior wall MI
   4. RV wall MI
   5. Posterior wall MI
9. Describe the ECG characteristics of Left Main Occlusion
10. What is Wellens’ sign and what is it’s significance
11. List 10 DDx for ST-elevation
12. Describe the ECG features of
    1. Benign early repolarization
    2. Pericarditis
    3. LBBB
    4. RBBB
    5. Ventricular-paced rhythm
    6. LVH / Strain-pattern
    7. LV aneurysm

Wise Cracks:

What are the STEMI equivalents? Know these patterns!!!