9 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
Cath Lab ASAP: STEMI ... Unstable/cardiogenic ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... catheterization #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... LMCA #Angiogram #CathLab ... #clinical #cardiology
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DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... Initiative #Management #Cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
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Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... segment is the only ECG ... #Differential #Algorithm ... #cardiology #occlusionMI
RCA Aneurysm with TTO

57 yo male, dyslipidemia. Arrives w/ 4 hours inferior + RV STEMI in
inferior + RV STEMI ... in cardiogenic ... transfered to #CathLab ... TTO #Clinical #CathLab ... #CardiacCath #Cardiology
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In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
and published an algorithm ... CardiacArrest #Algorithm ... ROSC #Comatose #CathLab ... #NSTEMI #Activation ... Stratfication #Management #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... physical exam - Key components ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... is essentially Cardiogenic ... #differential #algorithm ... #management #cardiology