14 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
low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... #catheterization ... #cardiology
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Catheterization ... exactly why the ECG ... Sam Ghali, M.D. ... #CathLab #cardiology ... #clinical #fluoroscopy
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
Catheterization ... Sam Ghali, M.D. ... #Cathlab #Fluoroscopy ... #cardiology #clinical ... #STEMI
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... CAG normal. ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
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 ... - Sam Ghali, M.D ... #ekg #electrocardiogram ... #cardiology #clinical
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... #clinical #cardiology ... #CardiacCath #CathLab ... #fluoroscopy #catheterization
Hyperkalemia EKG - K of 8.5

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

Computer
with ROSC after cardiac ... classic “Pseudo-STEMI ... - Sam Ghali, M.D ... #Hyperkalemia #EKG ... #Cardiology #Clinical
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Oval Shaped Cardiac ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... Pulmonary-Artery Catheterization ... #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... → no signs of CXR ... Consider cardiac ... Consider right heart catheterization ... #management #cardiology