18 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 ... #Inpatient #CathLab ... catheterization #cardiology
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... features of the EKG ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation ... #STSegment #Differential
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology
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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... #Ischemia #ECG ... electrocardiogram #cardiology ... Interpretation #differential
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
ROSC #Comatose #CathLab ... #NSTEMI #Activation ... Stratfication #Management ... #Cardiology #CriticalCare
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 ... or NSTEMI) Cardiogenic ... DCSI #Initiative #Management ... #Cardiology
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management

Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Tachycardia (SVT) - Differential ... Framework and Management ... Place patient in semi-recumbent ... Tachycardia #SVT #Differential ... #cardiology