14 results
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
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
’s a beautiful angiogram ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... • Vagal Maneuvers ... #tachycardia #Management
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 ... Tachycardia #Treatment #management ... #cardiology #algorithm
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 ... catheterization #cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... Tachycardia #Treatment #management ... #cardiology #algorithm
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Semont Liberatory Maneuver ... the examination table ... useful when the Epley ... States than the Epley ... #physicalexam #management