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cardiology diagnosis management clinical electrocardiogram treatment algorithm artery catheterization cathlab chf criticalcare equivalents heartfailure a4c angiogram calculations cardiac cardiomyopathy catheter
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... 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
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... treatment for acute MI ... Nephrotoxins (e.g ... channel blocker (eg ... #CHF #Shock #Cardiogenic
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
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 ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology
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 Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
mortality in inferior MI ... RV dysfunction. e.g ... forward flow. e.g ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... resuscitation • Cardiogenic ... Shock - MI
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
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