13 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... -7) risk Cath lab ... #Inpatient #CathLab
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
and published an algorithm ... emergent cath lab ... CardiacArrest #Algorithm ... ROSC #Comatose #CathLab ... #NSTEMI #Activation
Anterior STEMI. Non surgical candidate. What’s your plan?

Dr. James Nadel @jimmy_nardel

#Anterior #STEMI #LAD #CathLab #CardiacCath #Cardiology
Anterior STEMI. ... #Anterior #STEMI ... #LAD #CathLab #
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... > 1 mm in any lead ... V1-V3 c) STE ... wave > 25% in any lead
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... all wraparound LAD ... #Wraparound #LAD ... #STEMI #clinical ... #CardiacCath #CathLab
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... ACTIVATE CATH LAB ... Cardiogenic #Shock #Algorithm
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
Proximal LAD Obstruction ... see the proximal LAD ... #Proximal #LAD ... Catheterization #Cathlab ... cardiology #clinical #STEMI
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... STEMI: - Hx: Pressure ... Radiation to arm/jaw, CAD ... Diagnosis #Management #Algorithm
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Upsloping convex STE ... ventricle pacing lead ... Other Causes - STE ... STElevation #ST #STEMI