9 results
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
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
’s a beautiful angiogram ... exactly why the ECG ... anterolateral AND inferior ... Catheterization #CathLab ... #cardiology #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or echo/angiogram ... have no pain - LAD ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
emergent cath lab ... activation for coronary ... ROSC #Comatose #CathLab ... Stratfication #Management ... #Cardiology #CriticalCare
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 ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
RCA Aneurysm with TTO

57 yo male, dyslipidemia. Arrives w/ 4 hours inferior + RV STEMI in
Arrives w/ 4 hours inferior ... + RV STEMI in cardiogenic ... He had a proximal ... #RCA #Coronary # ... #CardiacCath #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... QRS complex Pulmonary ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #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 ... cath if acute coronary ... differential #algorithm #management ... #cardiology #treatment
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
dysfunction • Pulmonary ... • Spontaneous coronary ... patients require LVAD ... recognition and management ... Cardiomyopathy #Cardiology