19 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 ... Unstable/cardiogenic ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
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 ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• At least 3 different ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #EKG #Management
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Hyperkalemia #EKG ... #Cardiology #Clinical
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management ... #cardiology #summary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... Revascularization, treatment ... #HeartFailure #Cardiology ... #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... EKG • Ensure ... Tamponade - Pulmonary ... resuscitation • Cardiogenic ... #criticalcare #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #management
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... consumption) can lead ... much as 40% in cardiac ... catheter #diagnosis #cardiology