27 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Cath LAD dissection ... PSAX #Clinical #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Pulmonary embolism ... #Embolism #POCUS ... A4c #clinical #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... See thread for POCUS ... Pulmonary embolism ... #Embolism #ECG ... #clinical #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic dissection ... Pneumothorax • Pulmonary ... embolismCardiac ... Initial workup: • EKG
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
injury: - Primary cardiac ... - Primary non-cardiac ... illness, Sepsis, Pulmonary ... embolism Acute ... Classification #diagnosis #cardiology
Hyperkalemia EKG - K of 8.5

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

Computer
Hyperkalemia EKG ... with ROSC after cardiac ... classic “Pseudo-STEMI ... #Hyperkalemia #EKG ... #Cardiology #Clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... Initiative #Management #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Capture: Narrow, different ... waves in opposite direction ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... Embolus through ... #STEMI #clinical ... #cardiology #CardiacCath