15 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 ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX ... #Clinical #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology ... #clinical #plax
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... Initiative #Management #Cardiology
Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
Air gap sign: loss ... Pneumopericardium #clinical #cardiology ... echocardiogram #a4c #plax ... #pocus #airgap ... #sign
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... CM5 continuous ECG ... Obtain a 12-lead ECG ... • Start glyceryl ... consultation with cardiology
Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary
Abnormalities (WMA) on POCUS ... breath and ischemic EKG ... changes (but no STEMI ... Abnormalities #WMA #POCUS ... #clinical #cardiology
Intracardiac Rhabdomyomas on Echocardiogram

Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Echocardiogram Huge cardiac ... clinically completely stable ... Echocardiogram #clinical #cardiology ... #pocus #plax