12 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Coronary Artery Thrombus ... ”. 55 year old ... Cardiogenic shock, ECG ... #LMCA #Angiogram ... CathLab #clinical #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
Angiography 55 year ... close relative, ECG ... Ventriculogram #Angiogram ... #clinical #cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
ruptures and a thrombus ... pain occurs at rest ... plaque rupture and thrombus ... is reflected by ECG ... #Diagnosis #Cardiology
The guide catheter was deliberately not engaged with the left main artery, as an occlusion was
main and a large thrombus ... comment: There is near ... Clinical #EM #IM #Cardiology ... #Angiogram #LeftMainOcclusion
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... or echo/angiogram ... #Ischemia #ECG ... electrocardiogram #cardiology ... Interpretation #differential
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Doppler to localize tear ... • Stasis and thrombus ... associated with thrombus ... Infarction #acuteMI #cardiology ... #differential #
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... LVEDd > 6.0 cm, LV thrombus ... with Cardio-OB team ... with Cardio-OB team ... diagnosis #management #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
intolerance, chest pain, near-syncope ... identify left atrial thrombus ... serum creatinine, test ... TEE to exclude thrombus ... diagnosis #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... indicated • EKG ... Obtain EKG if: ... echo in the last year ... one post op Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... consciousness • Near-syncope ... #Palpitations #Cardiology ... #Differential #