27 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 ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
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
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
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
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... help stratify cardiac ... ROSC #Comatose #CathLab ... #NSTEMI #Activation ... Stratfication #Management #Cardiology
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
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... exactly why the ECG ... Wraparound #LAD #Cardiac ... Catheterization #CathLab ... #cardiology #clinical
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... LMCA #Angiogram #CathLab ... #clinical #cardiology
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