5 results
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
New/worsening MR ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
deWinter T waves - starts ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology ... #Interpretation
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Septal (V1-2) • Anterior ... de pointes • Short ... #Interpretation ... #cardiology #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
500 DANGER - Short ... QT <300-360 ms: ... #EKG #diagnosis ... electrocardiogram #cardiology ... #interpretation
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
MI • PAPi < 1.85 ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology