27 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
Inpatient Cath Lab ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... /UA: stable, TIMI ... #Inpatient #CathLab
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... big R or R/S>I STEMI ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology #STEMI
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
Hordeolum (Stye ... eyelashes on the upper lid ... Ophthalmology #Hordeolum #Stye ... Chalazion #Comparison #Table
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 #
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... established, but died on table ... LMCA #Angiogram #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
Lab patterns seen in Inborn Errors of Metabolism

A table of lab values compiled from UpToDate and
Lab patterns seen ... Metabolism A table ... of lab values compiled ... metabolicemergency-pathophysiology-differential-pediatrics-metabolism-algorithm-diagnosis ... Peds #Pediatrics #Table
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