Acute Coronary Syndrome (Heart Attack) - Unstable Angina vs NSTEMI vs STEMI | With ECGs
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- เผยแพร่เมื่อ 6 มิ.ย. 2024
- Acute Coronary Syndrome refers to a spectrum of conditions including Unstable Angina, Non ST Elevation Myocardial Infarction and ST Elevation Myocardial Infarction. In this video we look at the pathology behind acute coronary syndrome, the differences between Unstable angina, NSTEMI and STEMI, as well as the signs and symptoms, diagnosis (including ECG changes!) and treatment of each.
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Video Timestamps:
0:00 What is Acute Coronary Syndrome - Acute Coronary Syndrome Definition
0:25 Coronary Artery Anatomy
1:17 Acute Coronary Syndrome Pathology - Atherosclerosis
2:08 Acute Coronary Syndrome Pathology - Unstable Angina vs Non ST Elevation Myocardial Infarction vs ST Elevation Myocardial Infarction
3:00 Acute Coronary Syndrome Risk Factors
3:23 Signs and Symptoms of Acute Coronary Syndrome
4:17 Acute Coronary Syndrome Diagnosis - ECG STEMI
5:45 Acute Coronary Syndrome Diagnosis - ECG NSTEMI and Unstable Angina
6:42 Acute Coronary Syndrome Diagnosis - Cardiac Troponin I
7:11 Acute Coronary Syndrome Diagnosis - Imaging
7:42 Treatment of Acute Coronary Syndrome
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Other Questions answered and video tags:
Acute coronary syndrome
ACS
Unstable angina
Non ST elevation myocardial infarction
ST elevation myocardial infarction
Unstable angina vs NSTEMI vs STEMI
Unstable angina v NSTEMI v STEMI
NSTEMI vs STEMI
NSTEMI v STEMI
Non st elevation myocardial infarction vs st elevation myocardial infarction
What is acute coronary syndrome
What is unstable angina
Myocardial infarction
Acute coronary syndrome ecg
Acute coronary syndrome management
Acute coronary syndrome treatment
Heart attack
Acs explained
NSTEMI ecg
STEMI ecg
Stemi vs nstemi ecg
Non st elevation mi vs stemi
Disclaimer: Please remember this video and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.
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Video Timestamps:
0:00 What is Acute Coronary Syndrome - Acute Coronary Syndrome Definition
0:25 Coronary Artery Anatomy
1:17 Acute Coronary Syndrome Pathology - Atherosclerosis
2:08 Acute Coronary Syndrome Pathology - Unstable Angina vs Non ST Elevation Myocardial Infarction vs ST Elevation Myocardial Infarction
3:00 Acute Coronary Syndrome Risk Factors
3:23 Signs and Symptoms of Acute Coronary Syndrome
4:17 Acute Coronary Syndrome Diagnosis - ECG STEMI
5:45 Acute Coronary Syndrome Diagnosis - ECG NSTEMI and Unstable Angina
6:42 Acute Coronary Syndrome Diagnosis - Cardiac Troponin I
7:11 Acute Coronary Syndrome Diagnosis - Imaging
7:42 Treatment of Acute Coronary Syndrome
❤😂🎉😢😅🎉🎉😢😢😮🎉❤😂😅🎉❤😅😂😂😂😂❤😂😂😊😂🎉😂😅🎉😂😂😊🎉😂😂😅❤😊😅2😅😅 0:55 ❤😅😅😂😂🎉❤🎉😂😂
This is actually the best video I have found in my 3 years of medical school hands down. You are doing God's work. Thank you so much.
Very kind! Glad it helped, good luck!
I like that they’re putting people qualifications on their channels now it’s very much needed
Actually the Best explanation regarding this topic, I've seen so far 👏
U saved my life, seriosly, i m in europe medical uni, and nobody ever explained it like this
A superb video! Thanks for all the effort you put into it!
Ok
Excellent job, Great for EMTs and Paramedics, clear and concise.
An excellent video which is short, clear & precise for easy understanding.
Thank you for your comment, glad it was useful 😊
Great explanation, I learned more from your 9 minute video than my professor's 3 hour lecture
Very glad to hear it was useful, best of luck 😊
I wonder how this is happening to us how can a 9 min video give us more informations then a 2 hour lecture!! Are we running into fish 😂😂😂
Excellently explained ❤
This is priceless!
Keep up the good work,
Claude (commencing CCU RN)
Thank you Claude, I appreciate the kind comment! 😊
Thank you very much Doc💉
This is all well understandable ✨
Great explanation 🙌🏽
Simple, clear and much appreciated. Many thanks
Thank you for watching and the kind comment 😊
Nice explanation...
Your video helped me a lot thank you
Glad to hear it helped!
Absolute legend! Thank you
You're welcome 😎
Thanks sis from where you re
Thank u sir u makes very fantastic video
Thank you !!^^
Nice explanation sir ji
Great, tqvm
BRAVO!!
best explanation
you're amazing !!!!
Thank youuuu
The illustrations corresponding to the different levels of severity of acute coronary syndrome (ACS) can be seen in the corresponding degrees of ACS but it is often not the case that EKG abnormalities as displayed can be seen. In unstable angina (UA) or NSTEMI there may be minor, subtle, or non diagnostic abnormalities. Dynamic EKG abnormalities that appear and resolve as symptoms occur and resolve can be seen and are strongly suggestive of ACS. In STEMI though total occlusion is usually the case a tight non occlusive thrombus proximally can impair perfusion to a large enough area of myocardium to cause ST elevations. It is possible that ischemia or infarction due to a circumflex artery thrombosis can cause no EKG abnormalities in the lateral leads at all, the so called “blind spot”.
Exactly why did you find it necessary to try to impress anyone by posting on aclip that is very basic? The funny thing about people like you is that there is no goal to inform, only to impress. Utter foolishness.
Thanks very very helpful
Glad to hear it! Thanks for watching 😊
Very well explained..
Thank you!
Thanks so much ❤❤it's a nice video i have see in my life
It’s interesting learning to how much shit can go wrong with my body at any given second. Really increases my existential dread 10/10 would recommend 👍
touche
Thank you
You're welcome :)
good
Gread explanation
Can u suggest a topic related to anemia in acs for a research topic
Very well explained Good Job, You need to fine tune your drug knowledge - Alteplase use is decades old ! Even TnK is old now since there are more Cath Labs around.
Where i can find your notes?
best video😊😊
Thank you!
Great
Or nothing...I'm recovering from open-heart surgery (CABG, etc.). My EKG/ECG was normal. It took a blood test to indicate I was having a heart attack.
So a normal ECG does not necessarily mean you are OK!
ekg will only show your rhythm at that time, sometimes it can show old infarct. however acutely, a troponin level will indicate damage to the cardiac tissue. certain conditions can cause a chronically elevated troponin.
That’s called an NSTEMI
NSTEMI widespread ekg changes with the wave inversion right?
Do you remember how it felt , my chest feel sore on the left if I move a certain way
@@gamingwitchutuu429 Really bad indigestion is the best description I can come up with.
Done.
Sir Angised use in
Does T wave flattening also indicates ischemia?
why do we give beta blocker for left ventricular systolic dysfxn?
What would cause the right chamber to swell like a water balloon & next aggressively contract to correct that?
How to differentiate st depression of NSTEMI and st depression in anterior leads due to posterior STEMI??
Thanks for the question- additional ECG leads (V7-V9) placed on the posterior chest wall would reveal ST elevation in a posterior STEMI. Having ST depression in the anterior leads with a clinical picture suggestive of MI should raise the question of a posterior STEMI (as the management would change from NSTEMI to STEMI). Bear in mind though that isolated posterior STEMI is less frequent, it's more common to have it in the presence of an inferior or lateral STEMI. Life In The Fast Lane (LIFTL) have a really good article:
litfl.com/posterior-myocardial-infarction-ecg-library/
@@RhesusMedicine thanks
@@clarkkent4872 No problem, Superman
Superbe 🤩👌👍🇨🇭
Thanks for watching, David!
If someone has untreated unstable angina for three months, can they still have a heart attack?
Yes
I'm sure they'd be at high risk of a heart attack.
I'm not a medical professional though.
❤
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I just got my polar h10 yesterday and when I checked my ECG on it, I had what appeared to be st-elevation. But when I che kid my Apple Watch ECG, it showed no sign. What does that mean?
Why not ask your doctor instead of a youtube channel. More foolishness.
@@bbmtgeDon't worry, my hypochondria is much more under control since I wrote this comment. My heart's fine, I'm only 18 and I exercise nearly daily so I'm good.
"NSTEMI has smaller infarctions than STEMI in general" A patient with almost normal ecg having distal RCA OMI: 💀💀💀💀
MONA is excluted from guidelines
Pharmacy students where you at
🫶🏼🫶🏼🤩🤩 thaaaaaanks
You're welcome! 😀
I wanted Telugu
Not much for the laymen, this video.
"in women than in males" really weird
Maybe women since they are more pain tolerant just shrug off the pain and think nothing of it?
@@sleepynoodles6425 literally the opposite of your statement is true and I was referring to how he
he used 'males' instead of men or used women instead of females.
Weird to objectify one sex and not the other.
@@broformation6530 you're maybe right about men being more pain tolerant (pls link studies I'd like to learn more since I'm pretty sure women tend to be ignored when it comes to pain studies because of hormonal imbalances and studies inaccuracies)
But then maybe he means women tend to shrug off any pain they had?
Especially during cardiovascular pain so you should look out for them and not underestimate a woman's "slight" chest pain complaint
About your second opinion
We're in a scientific video literally using females/males women/men doesn't matter in the slightest and for sure doesn't mean objectifying and literally no one cares. This is not reddit.
I mean have you read any medical books? It's pretty normal
And I'm sure the video writers didn't look twice at the terms since they are interchangeable and doesn't matter the use of one over the other
@@sleepynoodles6425 I'm ok with using male/female. I found it weird he avoided using female but had no problem with male.
@@broformation6530 again it's because the terms are interchangeable so the writer didn't look twice on what word was used for which and they for sure as hell didn't think of whatever you're thinking
Don't overthink this, in a scientific video.
This isn't reddit.