25 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 ... Recurrent/persistent rest ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... catheterization #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• At least 3 different ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
stratify cardiac arrest ... emergent cath lab ... ROSC #Comatose #CathLab ... Stratfication #Management ... #Cardiology #CriticalCare
Hyperkalemia EKG - K of 8.5

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

Computer
Hyperkalemia EKG ... after cardiac arrest ... classic “Pseudo-STEMI ... #Hyperkalemia #EKG ... #Cardiology #Clinical
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
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 ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Checklist for diagnosing ... Capture: Narrow, different ... Criteria - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... #clinical #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
MAT) - 3 different ... P waves in lead ... (4) SA node arrest ... #EKG #diagnosis ... electrocardiogram #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
sets at three different ... endocarditis w/ septic pulmonary ... Internet Book of Critical ... #criticalcare #diagnosis ... #management