11 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
LMCA lesion -> Cardiac ... Catheterization ... acute coronary syndrome ... #Angina #ChestPain ... #Cardiology #EBM
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... Catheterization ... exactly why the ECG ... Sam Ghali, M.D. ... #CathLab #cardiology
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Acute Coronary Syndrome ... JA, Goldstein SA ... EBM #Diagnosis #Cardiology ... Typical #Atypical #ChestPain ... #Cardiac
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... (+LR 2.6) - Cardiac ... - History - EKG ... SatyaPatelMD #ChestPain ... #cardiology #Angina
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
pericardial injury Cardiac ... injury (e.g., cardiac ... surgery, catheterization ... pericardial sac ... Postpericardiotomy syndrorne
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 ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization ... #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... • Migraine Cardiac ... Stenosis • Cardiac ... (SA Node) ... #Syncope #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Hyper-eosinophilc Syndrome ... #differential #cardiology ... #algorithm
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 ... Pulmonary-Artery Catheterization ... respiratory distress syndrome ... differential #diagnosis #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology