Your Easy Guide to Acute Coronary Syndrome

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  • เผยแพร่เมื่อ 30 ก.ค. 2024
  • Everything YOU need to know for diagnosing and managing acute coronary syndrome at the resident level. This is the video that I wish I had before I went on my cardiology rotations - the educational resource that would have helped me immensely if I had been able to watch it before I did CCU. I go over the definitions of acute coronary syndrome (ACS), the differences between each condition, what cardiac catheterization and CABG entails, when they are indicated, the differences between ACS and common mimickers like Type 2 MI, non-MI troponin elevation, and atypical chest pain, when to do stress tests and when to order which kind of stress test, and finally end with some examples for you to practice your diagnostic and management skills on! No more unnecessary consults to cardiology! Let's all get a better understanding of how to manage and treat ACS together :)
    Corrections to my video:
    1. None yet (let me know if you notice any mistakes that should be fixed!)
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ความคิดเห็น • 42

  • @maazarif8903
    @maazarif8903 2 ปีที่แล้ว +18

    WE NEED MORE resdients guide lectures!!!!! i love how detailed yet succinct this was for a resident level. Often times I find myself bogged down in learning material that I lose focus of whats important or even relevant.

    • @ConanLiuMD
      @ConanLiuMD  2 ปีที่แล้ว +3

      Thank you for your comment Maaz!!! I will definitely try to get back on track for making Resident's Guide vids :D

  • @robertoconnell8153
    @robertoconnell8153 10 หลายเดือนก่อน +2

    Newer cardiac nurse here... I love seeing the algorithmic break down of the decision making. Sometimes the hospital course and treatment can be confusing from a nurses perspective. Thanks for another great video!

  • @MrSuperhenry101
    @MrSuperhenry101 2 ปีที่แล้ว +6

    This was AMAZING. More of these would be great, like CHF, COPD, etc.

    • @ConanLiuMD
      @ConanLiuMD  2 ปีที่แล้ว +3

      Thank you so much!!! I definitely hope to make some more soon. I really appreciate your comment a lot, it means a lot to me! :)

  • @foreverresident16
    @foreverresident16 2 ปีที่แล้ว +3

    PLEASE make more of these!

  • @yushangunewardhane6368
    @yushangunewardhane6368 ปีที่แล้ว +3

    This guide is great. I like the scenarios at the end that show how the criteria is applied. Thanks

  • @yohanv1146
    @yohanv1146 6 หลายเดือนก่อน +1

    One of the best lectures I have seen on ACS

  • @Bumble.b33
    @Bumble.b33 3 หลายเดือนก่อน +1

    You're amazing canon. Please please please please make more educational videos system wise

  • @fangyuanchen8997
    @fangyuanchen8997 ปีที่แล้ว +1

    The best presentation on this topic for resident level I have ever watched so far!

  • @JonathanCirillo
    @JonathanCirillo 2 ปีที่แล้ว +3

    MORE! Thank you, Dr. Suppy

  • @Sammy.a1287
    @Sammy.a1287 2 หลายเดือนก่อน +2

    This is the best video on the subject. Great job!!!

  • @jankicheese
    @jankicheese 5 หลายเดือนก่อน +2

    Excellent video!! Very helpful for my upcoming CCU rotation

  • @anlysong9131
    @anlysong9131 2 ปีที่แล้ว +3

    An up to date lecture with practice cases at the end, thumbs up! Time is muscle in AMI. Demand ischemia is very common in daily practice: heart failure, fast heart rate, infection, stress( medical, surgical,physical or mental such as in Takotsubo)etc. For stress testing you do have an option of ETT-myocardial perfusion study.

    • @ConanLiuMD
      @ConanLiuMD  2 ปีที่แล้ว +1

      Thanks mom!! Glad you liked it :)

  • @sanbetski
    @sanbetski 2 ปีที่แล้ว +2

    awesome review. keep up the good work and more power!

    • @ConanLiuMD
      @ConanLiuMD  2 ปีที่แล้ว +1

      Thank you so much!

  • @nha8909
    @nha8909 8 หลายเดือนก่อน +2

    This was an awesome lecture.. I am amazed by the high quality content, updated, clinically relevant while still touching on basics. I would be happy if you do a similar style video on PE. just from the amount of caveats it has.

    • @ConanLiuMD
      @ConanLiuMD  8 หลายเดือนก่อน +1

      I have one! It’s on DVT/PE - let me know if you have questions on it :)

    • @ConanLiuMD
      @ConanLiuMD  8 หลายเดือนก่อน +1

      And thank you for the nice comment!

  • @mikewazowski6469
    @mikewazowski6469 2 ปีที่แล้ว +2

    Absolutely phenomenal!

    • @ConanLiuMD
      @ConanLiuMD  2 ปีที่แล้ว +1

      Thank you!! I really appreciate your kind comment :)

  • @alijafri8473
    @alijafri8473 ปีที่แล้ว +1

    This is great! A similar guide for sepsis, COPD, a-fib, stroke would be god-send.

    • @ConanLiuMD
      @ConanLiuMD  ปีที่แล้ว +2

      I have one for afib! Will work on the other ones

  • @Sam_1964
    @Sam_1964 ปีที่แล้ว +1

    This is outstanding presentation

  • @mubarakal-hatemi3552
    @mubarakal-hatemi3552 9 หลายเดือนก่อน +1

    Scenario: high risk pt, cardiac pain until proven otherwise (diffuse exertional chest pain with typical radiation
    forget about tenderness on palpation, about 15% of proven MIs have tenderness on palpations

  • @namir1782
    @namir1782 หลายเดือนก่อน

    very helpful!

  • @mubarakal-hatemi3552
    @mubarakal-hatemi3552 9 หลายเดือนก่อน +1

    Great
    Correction: aVR elevation is Not specific for left main occlusion

  • @tiffanytran4970
    @tiffanytran4970 ปีที่แล้ว

    Could you please do a video on indications for pacemaker and ICDs?

  • @mikewazowski6469
    @mikewazowski6469 ปีที่แล้ว +1

    Is there any way you can add a link with the slides? That would be greatly appreciated it and immensly helpful!!

  • @joegeo5
    @joegeo5 2 ปีที่แล้ว +1

    Thanks conaanaa! Can you explain what a 'troponin leak' is? I hear that term all the time but don't know what it is. Thanks!

    • @ConanLiuMD
      @ConanLiuMD  2 ปีที่แล้ว +1

      Yes! I actually go over it in this video:
      th-cam.com/video/PSeBU6AkhpY/w-d-xo.html it’s a term that really shouldn’t be used because it’s very nonspecific and people use it with different meanings which is the reason it’s so confusing. Most of the time it would be akin to the “non-MI troponin elevation” that I go over about halfway in the video though!

  • @davidc7682
    @davidc7682 2 ปีที่แล้ว +1

    When you have a patient with high pretest prob and typical chest pain at rest, no EKG changes, but are still waiting for the troponin, do you just go ahead and start nitrates/beta blocker/aspirin?

    • @ConanLiuMD
      @ConanLiuMD  2 ปีที่แล้ว +2

      Yes I would! If pretest probability is high it is basically always reasonable to start them on anti platelets and anti coagulation. You can always discontinue them the next day if everything continues to be negative, but missing early treatment for MI would be devastating

    • @davidc7682
      @davidc7682 2 ปีที่แล้ว

      @@ConanLiuMD Thanks for the info! Would that include heparin/lovenox in this case?

  • @anphamngoc5876
    @anphamngoc5876 ปีที่แล้ว +1

    Tksss

  • @tiffanytran4970
    @tiffanytran4970 ปีที่แล้ว +1

    Does the patient need to be NPO for a dobutamine stress test?

    • @ConanLiuMD
      @ConanLiuMD  ปีที่แล้ว

      No not that I am aware of!

  • @LEARNING-MEDICAL-EDUCATION
    @LEARNING-MEDICAL-EDUCATION 2 ปีที่แล้ว +1

    liked it