12 results
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 ... , in Cardiogenic ... shock, ECG predicted
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... or NSTEMI) Cardiogenic ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... 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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... after) the J point ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
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 ... #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
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... QRS complex Pulmonary ... • Epicardial artery ... #ecg #ekg #electrocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... Shock. ... #diagnosis #differential ... #algorithm #management