65 results
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... POCUS #clinical #cardiology ... #a4c
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
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
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
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... Secondary to invasive cardiac ... • Malignancy (e.g ... CAUSES • PRIMARY Cardiac ... Differential #Diagnosis #cardiology
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... *will* go into Cardiac ... @EM_RESUS #STEMI ... #ekg #electrocardiogram ... #cardiology #clinical
Post-MI Free Wall Rupture
1. What's the role of revascularization when presenting with late STEMI?
2. What are
presenting with late STEMI ... hemorrhagic pericardial effusion ... pursue surgical management ... FreeWall #Rupture #cardiology ... acuteMI #diagnosis #management
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... help stratify cardiac ... Comatose #CathLab #NSTEMI ... Stratfication #Management ... #Cardiology #CriticalCare
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary