14 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... ’s a beautiful angiogram ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Cardiogenic shock, ECG ... established, but died on table ... Thrombus #LMCA #Angiogram ... #CathLab #clinical ... #cardiology #fluoroscopy
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... Ventriculogram #Angiogram ... #clinical #cardiology ... #cathlab #fluoroscopy
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Interrupted IVC on Angiography

Patient taken for PTMC, unexpected surprise on cath table. 

Dr. Gopalan Rajesh @DrRajeshG1

#Interrupted
surprise on cath table ... Interrupted #IVC #Angiogram ... venogram #clinical #cathlab ... #vascular #radiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Attempt vagal maneuvers ... Control rate (e.g ... Control rate (e.g ... Treatment #management #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... arrythmias Diagnostics: EKG ... COREIMpodcast #Cardiac ... Stress #Testing #cardiology
Yamaguchi cardiomyopathy on Electrocardiogram (EKG)
That time when a doctor tells you that you're "having a heart
Electrocardiogram (EKG ... ECG has been stable ... Cardiac MR shows ... cardiomyopathy #ecg ... hypertrophic #clinical #cardiology
Pulmonary Flow Murmur

crescendo-decrescendo, early to mid-systolic 

Increases Intensity: Laying supine, hyperkinetic 
circulatory states (e.g., anemia, 
fever,
circulatory states (e.g ... up or standing, maneuvers ... decrease preload (e.g ... #Flow #Murmur #Cardiac ... #Cardiology #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... postoperative cardiac