54 results
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Algorithm • STEMI ... • NSTEMI (Troponin ... (UA, Troponin Negative ... ) Management: ... #Algorithm #cardiology
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 ... NSTEMI: 1. ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... considered to have ’relative ... STEMI Criteria misses ... Occlusion #Total #ECG ... #Clinical #Cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
death of close relative ... , ECG diagnosis ... was STEMI AW. ... Angiogram #clinical #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Artery #Dissection #POCUS ... PSAX #Clinical #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 ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
from positive to negative ... Originates from single focus ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... Here’s a deadly ECG ... *will* go into Cardiac ... @EM_RESUS #STEMI ... #cardiology #clinical
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... chest leads Cardiac ... Cardiomyopathy #POCUS ... Echocardiogram #Cardiology
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Diagnosis and Management ... Hypoperfusion from Cardiac ... Diagnostic Studies • POCUS ... Management: • ... #cardiology