11 results
Distinguishing Between Benign Early repolarization vs STEMI on EKG
#Diagnosis #Cardiology #ECG #EKG #Repolarization #STEMI #Comparison #Table
on EKG #Diagnosis ... #Cardiology #ECG ... #EKG #Repolarization ... #STEMI #Comparison ... #Table #ALiEM
Bradycardias Comparison Table
 - SINUS BRADYCARDIA 
 - JUNCTIONAL BRADYCARDIA 
 - 1st DEGREE AV BLOCK
Bradycardias Comparison ... Table - SINUS ... #Diagnosis #Cardiology ... #EKG #ECG #Bradycardia ... #Table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... Dysrhythmia, heart block ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... Diagnosis #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 ... established, but died on table ... 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 ... - Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... Findings: - AV block ... diagnosis #management #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... Stress #Testing #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... is essentially Cardiogenic ... #differential #algorithm ... #management #cardiology ... #treatment #table