28 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
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Cardiac Catheterization ... exactly why the ECG ... #Cardiac #Catheterization ... #CathLab #cardiology ... #clinical #fluoroscopy
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
, Aortic dissection ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
Hyperkalemia EKG - K of 8.5

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

Computer
with ROSC after cardiac ... Computer is calling STEMI ... Burn this ECG ... classic “Pseudo-STEMI ... #Cardiology #Clinical
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... from LMCA into aortic ... LMCA #Angiogram #CathLab ... #clinical #cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... #STEMI #clinical ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
on Cardiac Catheterization ... #Obstruction #Cardiac ... Catheterization #Cathlab ... #Fluoroscopy #cardiology ... #clinical #STEMI
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 ... visualization with use of ultrasound ... Initiative #Management #Cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... Beside ultrasound ... Northwestern University #Clinical ... #EM #Radiology ... #POCUS #CardiacUS