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angiogram cathlab coronary dcsi detroit diagnosis differential ekg electrocardiogram equivalents fluoroscopy initiative left lmca main management shock thrombus
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... or NSTEMI) Cardiogenic ... TIMI III flow in all ... Initiative #Management #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 ... Left main occlusion ... #cardiology #fluoroscopy
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... at (or 40-60 ms after ... J point • De Winter ... of the leads l, aVL ... #differential #cardiology
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