19 results
Distinguishing Between Benign Early repolarization vs STEMI on EKG
#Diagnosis #Cardiology #ECG #EKG #Repolarization #STEMI #Comparison #Table
repolarization vs STEMI ... on EKG #Diagnosis ... #Cardiology #ECG ... #STEMI #Comparison ... #Table #ALiEM
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
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... , STEMI 1 STABLE ... - A STEMI is ... is reflected by ECG ... #Diagnosis #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
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
year old, severe chest ... close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... ROSC #Comatose #CathLab ... #NSTEMI #Activation ... Stratfication #Management ... #Cardiology #CriticalCare
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... to the ER with chest ... Recognize this #ECG ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... accompanied by chest ... of the leads l, aVL ... #Equivalents #ECG ... #differential #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... old with chest ... The mother of all ... Wraparound #LAD #STEMI ... #cardiology #electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology