33 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 ... NSTEMI: 1. ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #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
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... large clot and tamponade ... POCUS #clinical #cardiology ... #a4c
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... pericardial #effusion #tamponade ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... #Pericardial #Cardiac ... #Tamponade #Becks ... Triad #Diagnosis #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 ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... and published an algorithm ... help stratify cardiac ... CardiacArrest #Algorithm ... Comatose #CathLab #NSTEMI
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade ... EKG Findings: ... agent, steroids, AC
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
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... Initial workup: • EKG ... Pain #Diagnosis #Algorithm