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diagnosis management differential treatment acs clinical stable tachycardia angina angiogram artery bradycardia cardiac cardiogenic cardiomyopathy catheterization criticalcare dcsi definitions detroit
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI 1 STABLE ANGINA - Angina
Definitions - Stable ... , STEMI 1 STABLE ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
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 ... #Inpatient #CathLab ... catheterization #cardiology
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology
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 Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... #Differential #Algorithm ... #cardiology #occlusionMI ... infarction #diagnosis #coronary
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... deWinter T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... underlying cause #Stable ... Treatment #management #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... place IMPELLA Coronary ... Initiative #Management #Cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... AMS, SOB from CHF ... Chest Pain • ECG ... Connect ECG Leads ... differential #management #cardiology
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... Treatment #management #cardiology ... #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... ECG is vital while ... #management #cardiology ... #treatment #table ... #heartfailure #chf
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