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
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Cardiac Catheterization ... angiogram shot after ... exactly why the ECG ... #Cardiac #Catheterization ... #CathLab #cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... What's the culprit artery ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
man with ROSC after ... cardiac arrest ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
on Cardiac Catheterization ... length of the artery ... Catheterization #Cathlab ... #Fluoroscopy #cardiology ... #clinical #STEMI
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
help stratify cardiac ... emergent cath lab ... ROSC #Comatose #CathLab ... Stratfication #Management ... #Cardiology #CriticalCare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
occlusion that may lead ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... Endocarditis #diagnosis #management ... #cardiology
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Spontaneous coronary artery ... experience recovery of cardiac ... patients require LVAD ... recognition and management ... Cardiomyopathy #Cardiology