11 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 ... w/in 24 h: NSTEMI ... low (1-2) risk, +ECG ... troponin Medical Rx: NSTEMI ... #Indications #Cardiac
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... 3) Implement Modified ... Criteria - Suspect STEMI ... > 1 mm in any lead ... Diagnosis #Checklist #EKG
Myocardial Infarction - Definition and Types

Type 1 - Spontaneous Myocardial Infarction
 - Atherosclerotic plaque rupture or
Condition other than CAD ... supply and/or demand ... Type 3 - Cardiac ... #Definitions #NSTEMI ... #Type1 #Type2 #Demand
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... or NSTEMI) Cardiogenic ... ACTIVATE CATH LAB ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Hyperkalemia EKG - K of 8.5

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

Computer
with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... is a contrast load ... #Hyperkalemia #EKG
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... positive based on the modified ... complex 10 in lead ... #Modified #EKG
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... #EKG #diagram #Electrocardiogram ... #STEMI #Localization ... EinthovenTriangle #Cardiac
Myocardial infarction:
Classified into 5 types based on etiology and circumstances:

Type 1: Spontaneous MI caused by ischemia
coronary event (eg ... increased oxygen demand ... (eg, hypertension ... sudden unexpected cardiac ... myocardialinfarction #CAD
Overview of approach to brain death

Pursuing a diagnosis of brain death too early may lead to
too early may lead ... with brain death (e.g ... . cardiac arrest ... with brain death (e.g ... CriticalCare #BrainDeath #Dead
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
CARDIAC: asytole ... EKG, labs, cardiac ... disease or CAD ... do NOT recreate video ... Injury #clinical #video