21 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... Catheterization ... exactly why the ECG ... #Catheterization ... #CathLab #cardiology
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 ... #Inpatient #CathLab ... #Indications #Cardiac ... #catheterization ... #cardiology
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
Interpreting Right Heart Catheterizations ... What is the cardiac ... Were any maneuvers ... #Right #Heart #Catheterization ... #hypertension #cardiology
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... Pulmonary arterial catheterization ... cardiogenic shock (eg ... output (ie, cardiac ... #Differential #Table
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable ... LMCA lesion -> Cardiac ... Catheterization ... #ISCHEMIA #Stable ... Management #Algorithm #Cardiology
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
Obstruction on Cardiac ... Catheterization ... #Catheterization ... #Cathlab #Fluoroscopy ... #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 ... LMCA #Angiogram #CathLab ... #clinical #cardiology
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
RIMA dissection during cardiac catheterization

RIMA explosion - never inject if the waveform is clearly dampened. Surprisingly
dissection during cardiac ... catheterization ... CardiacCatheterization #Cardiology ... Clinical #LHC #CathLab
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