21 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Cardiac Catheterization ... exactly why the ECG ... #Cardiac #Catheterization ... #CathLab #cardiology ... #clinical #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
low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
on Cardiac Cath ... a PFO during a bowel ... #STEMI #clinical ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... help stratify cardiac ... ROSC #Comatose #CathLab ... Stratfication #Management ... #Cardiology #CriticalCare
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary ... #biopsy
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... performed) • Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... Clinical Presentation ... despite hx HTN) EKG ... Signs #Symptoms #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... records asx events, all ... NUIM_Chiefs #Cardiac ... Monitoring #Devices #Comparison ... #cardiology #management
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology