11 results
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... New/worsening MR ... Sustained ventricular ... low (1-2) risk, +ECG ... catheterization #cardiology
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
on ECG This ... how subtle an EKG ... in leads 1 and avl ... #ECG #EKG #Electrocardiogram ... #POCUS
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS ... EKG unremarkable ... previous hx of MI ... This was her EKG ... Echocardiogram #clinical #cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... Prehosp ACLS-Asystole ... While getting 12 lead ... ECG, POCUS performed ... Echocardiogram #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... Prehosp ACLS-Asystole ... While getting 12 lead ... ECG, POCUS performed ... Echocardiogram #ultrasound #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... patient with right ventricular ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... V5-6 • Left Ventricular ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram