12 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 ... Sustained ventricular ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... #STEMI #Localization ... EinthovenTriangle #Cardiac ... EmergencyMedicine #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... - early inferior ... electrocardiogram #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... descending (LAD ... Differentiating ventricular ... #differential #cardiology
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 ... TIMI III flow in all ... Initiative #Management #Cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... depression in aVL ... and in lead I, ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Postinfarction Ventricular Septal Rupture
Inferior infarct.
Ivs flat suggest high RV pressure- bad news
Needs immediate cardiac surgery.

Ivan Stankovic,
Septal Rupture Inferior ... high RV pressure- bad ... Needs immediate cardiac ... Echocardiogram #clinical #cardiology ... #pocus
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... x-ray and and ECG ... long, the right ventricular ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... Abnormality on POCUS ... EKG: nsr, TWI v1 ... Resolution: ACS. ... Echocardiogram #Clinical #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... V5-6 • Left Ventricular ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram