10 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... old male with Anterior ... Cardiogenic shock, ECG ... Thrombus #LMCA #Angiogram ... CathLab #clinical #cardiology
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 ... anterolateral AND inferior ... Catheterization #CathLab #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
main coronary artery ... (LMCA). left anterior ... ST elevation: Differential ... #differential # ... cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... at (or 40-60 ms after ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or echo/angiogram ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Index < 2.2 AND anatomy ... Initiative #Management #Cardiology
Renal Artery to IVC Arteriovenous Fistula on Angiography

44 yr male, DOE, bounding pulse, BP 150/68, mid
Renal Artery to ... Ultrasound showed ... showed complex anatomy ... Arteriovenous #Fistula #Angiogram ... cathlab #vascular #radiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... anteroseptal and inferior ... • Epicardial artery ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 • Obturator - inserted into
Call for help (e.g ... between innominate artery ... stoma and pull anteriorly ... Emergencies #diagnosis #differential ... criticalcare #airway #anatomy
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... ECG is vital while ... #diagnosis #differential ... #algorithm #management ... #cardiology #treatment