10 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
’s a beautiful angiogram ... shot after reperfusion ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
old male with Anterior ... wall STEMI, in ... Thrombus #LMCA #Angiogram ... #CathLab #clinical ... #cardiology #fluoroscopy
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 #fluoroscopy
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or echo/angiogram ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... inversions V1-V4 plus inferior ... #Embolism #ECG ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... occlusion that may lead ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
QRS complex Pulmonary ... Embolism: • T-wave ... • Epicardial artery ... #cardiology #ecg ... #ekg #electrocardiogram
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... ARTERY PULSATILITY ... in-hospital mortality in inferior ... consumption) can lead ... #diagnosis #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Cerebral > Splenic, Pulmonary ... occlusion that may lead ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... #cardiology #infectiousdiseases
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
dysfunction • Pulmonary ... /amniotic embolism ... Spontaneous coronary artery ... patients require LVAD ... Cardiomyopathy #Cardiology