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cardiology clinical diagnosis artery catheterization cathlab ecgeducator shock akinesis algorithm angiogram avdissociation bilateral calculations cardiac cardiomyopathy catheter cavernous cerebralcavernousmalformation checklist
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 ... Unstable/cardiogenic ... New/worsening MR ... low (1-2) risk, +ECG ... 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 ... or NSTEMI) Cardiogenic ... DCSI #Initiative #Management ... #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
ECGs - Ischemia MI ... in avL - early inferior ... MI - R/S >1 or ... #EKG #diagnosis ... electrocardiogram #cardiology
Acute Anterior MI with AV Dissociation #Clinical #Cardiology #EKG #Anterior #STEMI #AVDissociation #Dissociation #ECGEducator
Acute Anterior MI ... Dissociation #Clinical #Cardiology ... #EKG #Anterior ... #STEMI #AVDissociation
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Cardiovascular MRI ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... cardiac death Management ... #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
old male with Anterior ... wall STEMI, in ... Cardiogenic shock ... , ECG predicted ... CathLab #clinical #cardiology
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 Inferior MI with Right Ventricular (RV) Wall Involvement #Clinical #Cardiology #EKG #Inferior #RV #RightVentricular #STEMI #ECGEducator
Inferior MI with ... Involvement #Clinical #Cardiology ... #EKG #Inferior ... RightVentricular #STEMI
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... treatment for acute MI ... #HeartFailure #Cardiology ... #Management
Cerebral Cavernous Malformations - Magnetic resonance imaging of the brain revealed numerous lesions consistent with cerebral
imaging of the brain ... stem (Panel A shows ... #Clinical #Radiology ... #Neuro #NSG #MRI ... FamilialCerebralCavernousMalformationSyndrome #NEJM
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
in-hospital mortality in inferior ... MI • PAPi < 1.85 ... RV dysfunction. e.g ... forward flow. e.g ... catheter #diagnosis #cardiology
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