13 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on ... ’s a beautiful angiogram ... exactly why the ECG ... Catheterization #CathLab #cardiology ... #clinical #fluoroscopy
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or echo/angiogram ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology ... Interpretation #differential
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
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Artery #Dissection #POCUS ... PSAX #Clinical #Cardiology
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
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... ultrasound and fluoroscopy ... DCSI #Initiative #Management ... #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Activate cath lab ... A4c #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... #clinical #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... : Bad block? ... bradycardia #diagnosis #differential ... #management #cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS ... = best management ... #Hypokinesis #POCUS ... Echocardiogram #clinical #cardiology ... WMA #Akinesis #LAD