13 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
Cath Lab ASAP: STEMI ... New/worsening MR ... low (1-2) risk, +ECG ... Indications #Cardiac #catheterization ... #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... wave inversion in avL ... #Ischemia #ECG ... electrocardiogram #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... “Mother of all ... Anterior wall STEMI ... Cardiogenic shock, ECG ... CathLab #clinical #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... What's the culprit artery ... The mother of all ... #cardiology #electrocardiogram ... #ecg
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... after) the J point ... of the leads l, aVL ... #Equivalents #ECG ... #differential #cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... What's the culprit artery ... The mother of all ... #clinical #cardiology ... #fluoroscopy #catheterization
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
attributed to coronary artery ... younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... Prinzmetal #Angina #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... - Pulmonary Artery ... mortality in inferior MI ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Framework NCPE Pathophysiology ... level <100 pg/ml EKG ... function Pulmonary-Artery ... Catheterization ... differential #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... • Epicardial artery ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram