15 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
Cath Lab ASAP: STEMI ... Unstable/cardiogenic ... despite intensive medical ... low (1-2) risk, +ECG ... catheterization #cardiology
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Syndrome - Management Algorithm ... • STEMINSTEMI ... • Immediate Medical ... ACS #Management #Algorithm ... #cardiology
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 ... or NSTEMI) Cardiogenic ... Initiative #Management #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... segment is the only ECG ... #Differential #Algorithm ... #cardiology #occlusionMI
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Heart Failure & Cardiogenic ... Evaluation - EKG ... Nephrotoxins (e.g ... #Checklist #CHF ... #HeartFailure #Cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... guideline-directed medical ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #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 ... CathLab #clinical #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... Decompensated CHF ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... pulmonary disease or CHF ... pulmonary disease or CHF ... Treatment #management #cardiology ... #algorithm
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
always visible as a meniscus ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural