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diagnosis management artery catheterization cathlab differential ekg electrocardiogram equivalents shock algorithm angiogram cardiac cardiomyopathy catheter checklist chf clinical coronary dcsi
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 ... Unstable/cardiogenic ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #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 ... or NSTEMI) Cardiogenic ... TIMI III flow in all ... Initiative #Management #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 ... early inferior MI ... electrocardiogram #cardiology
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
“Mother of all ... Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... CathLab #clinical #cardiology
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... of the leads l, aVL ... #Equivalents #ECG ... #differential #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Pressures and Calculations ... mortality in inferior MI ... Ahmed Ghoneem, MD MSc ... RHC #PACatheter #calculations ... catheter #diagnosis #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Heart Failure & Cardiogenic ... Evaluation - EKG ... treatment for acute MI ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Minority of Pts: cardiogenic ... /ARNI/MRA • Avoid ... ., ACE/ARB) need ... diagnosis #management #cardiology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... bone marrow or stem ... Etiology: • Pathophysiology ... Vascular narrowing on MRA ... circulation: MCA ACA
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