17 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... exactly why the ECG ... Wraparound #LAD #Cardiac ... Catheterization #CathLab ... #cardiology #clinical
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
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
help stratify cardiac ... ROSC #Comatose #CathLab ... Stratfication #Management #Cardiology ... #CriticalCare
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
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table ... #pharmacology #criticalcare
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
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... • Triggers (EKG ... diagnosis #management #cardiology ... #criticalcare
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