33 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 ... NSTEMI: 1. ... lab w/in 24 h: NSTEMI ... prior to d/c: NSTEMI ... #Inpatient #CathLab
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Syndrome - Management Algorithm ... • STEMINSTEMI ... ACS #Management #Algorithm
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 ... 15 lead - STE V1 ... tall T wave in V1 ... is inverted in V1
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... depression in V1 ... aVR • Posterior STEMI ... anterior leads) #STEMI
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Diagnosis • Lead V1 ... Criteria • Lead V1 ... aVR - Vereckie Algorithm ... #Algorithm #
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... #ACS #OMI #STEMI ... #Differential #Algorithm
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
ST-segment Elevation (STEMI ... ) #STEMI #PCI ... #Reperfusion #Algorithm
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Dominant S wave in V1 ... (deep S waves V1 ... Criteria - Suspect STEMI ... 1 mm in leads V1
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
diagnosis was STEMI ... clinical #cardiology #cathlab
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Depression in V1 ... STEMI Criteria misses