7 results
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram ... #clinical #cardiology ... #cathlab #fluoroscopy
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... Thrombus #LMCA #Angiogram ... #CathLab #clinical ... #cardiology #fluoroscopy
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 ... New/worsening MR ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... catheterization #cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... on POCUS 78 year ... of chest pain ECG ... leads Cardiac MRI ... Echocardiogram #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... = Biomarkers + ECG ... or echo/angiogram ... electrocardiogram #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... with Cardio-OB team ... multi-disciplinary team ... with Cardio-OB team ... diagnosis #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC algorithm ... Obtain EKG if: ... echo in the last year ... one post op Cardiology