15 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... angiogram shot after ... exactly why the ECG ... Wraparound #LAD #Cardiac ... Catheterization #CathLab #cardiology
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
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
main coronary artery ... (LMCA). left anterior ... aVR • Classic EKG ... #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
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... lack of acute cardiac ... level <100 pg/ml EKG ... function Pulmonary-Artery ... #diagnosis #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
PCWP PULMONARY ARTERY ... in-hospital mortality in inferior ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... catheter #diagnosis #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... including: • Coronary artery ... 300 = NSVT EKG ... may not occur Differential ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... Cardiac cath if ... #diagnosis #differential ... #algorithm #management ... #cardiology #treatment
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