15 results
Hypothermia on EKG
 • J (Osborn) waves
 • PR, QRS, and QT prolongation
 • Various bradyarrythmias
Hypothermia on EKG ... fib with slow ventricular ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... , but becomes ventricular ... or polymorphic ventricular ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
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 ... Sustained ventricular ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... catheterization #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab ... #fluoroscopy
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
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 ... ultrasound and fluoroscopy ... Initiative #Management #Cardiology
Acute Inferior AMI with Right Ventricular Involvement #Clinical #Cardiology #EKG #Inferior #RV #RightVentricular #STEMI #ECGEducator
AMI with Right Ventricular ... Involvement #Clinical ... #Cardiology #EKG ... RightVentricular #STEMI
Inferior MI with Right Ventricular (RV) Wall Involvement #Clinical #Cardiology #EKG #Inferior #RV #RightVentricular #STEMI #ECGEducator
MI with Right Ventricular ... Wall Involvement #Clinical ... #Cardiology #EKG ... RightVentricular #STEMI
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Regular • If ventricular ... nodal agents (e.g ... If polymorphic ventricular ... Treatment #management #cardiology ... #algorithm
Ventricular standstill on LV Ventriculogram

Can see ECG trace at bottom of screen & atrial activity on
Ventricular standstill ... Ventriculogram Can see ECG ... jimmy_nardel #Ventricular ... Ventriculogram #cathlab #fluoroscopy ... #clinical #cardiology