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This is an in-depth lecture on key cardiology topics, focusing on what you need to know for the National Registry and to sharpen your skills as a paramedic or EMT. We'll cover everything from the autonomic nervous system to pathophysiology and treatment for cardiac emergencies, without getting lost in the weeds of EKG interpretation. This video is designed to help you understand the core concepts behind cardiac presentations, so you can make informed decisions in the field and confidently pass your exams. What You'll Learn: The Autonomic Nervous System & Cardiac Function Sympathetic Nervous System: Understand how norepinephrine increases cardiac output, heart rate, and contractility. Parasympathetic Nervous System: Learn how acetylcholine slows the heart rate and why vagal maneuvers are effective for certain rhythms but not others. Cardiac Pathophysiology & Emergencies Hypertension: We'll define clinical hypertension, discuss its risks, and explore the medications used in a hypertensive crisis. Acute Coronary Syndrome (ACS): Differentiate between stable and unstable angina, and understand the difference between STEMI and NSTEMI. We'll also cover atypical chest pain in key patient populations (females, diabetics, and the elderly). Right Ventricular Infarction: A critical topic! Learn how to identify this life-threatening condition and why nitrates are contraindicated. Discover the correct treatment with IV fluids. Takotsubo Cardiomyopathy: What is "broken heart syndrome" and how does emotional stress cause a heart attack? Pericarditis: Identify the signs of this inflammatory condition, how it presents differently from an MI, and the proper treatment. Prehospital Treatment & Hospital Care Mona Protocol (M-O-N-A): We'll review the use of Morphine, Oxygen, Nitroglycerin, and Aspirin, including updated guidelines on when to administer oxygen. Nitroglycerin & Aspirin Dosages: Get a clear breakdown of the proper doses and administration for these crucial medications. Percutaneous Coronary Intervention (PCI): Understand the "door-to-balloon" time and the process of placing a stent in the hospital. Timestamps: 0:00 - Introduction to Cardiology Review 1:11 - Pathophysiology vs. EKGs vs. Anatomy 2:30 - Autonomic Nervous System 5:09 - Vagal Maneuvers & Carotid Massage 6:12 - The Heart's Conduction System 9:16 - Depolarization and Repolarization 11:22 - Hypertension & Hypertensive Crisis 17:45 - Acute Coronary Syndrome (ACS) 18:55 - Levine Sign 19:07 - Prinzmetal Angina 20:30 - STEMI vs. NSTEMI 21:21 - Pathological Q Waves 23:01 - Anginal Pain vs. Pleuritic Pain 25:03 - Patient Presentation & Atypical Chest Pain 28:47 - Left vs. Right Coronary Arteries 30:35 - The MONA Protocol 31:40 - The Role of Oxygen 32:29 - Aspirin Dosing 33:41 - Nitroglycerin & Pain Management 38:39 - Hospital Treatment & PCI 40:39 - Right Ventricular Infarction 45:50 - Takotsubo Cardiomyopathy 47:16 - Pericarditis Mastering these concepts will help you become a more confident and effective emergency care provider. If you found this lecture helpful, please like this video and subscribe to Rescue Academy for more advanced medical content! 💬 What's one cardiology topic that you find most challenging? Let me know in the comments below! #Paramedic #EMT #NREMT #Cardiology #EmergencyMedicine #PrehospitalCare #MedicalEducation #RescueAcademy