14 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
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Inpatient #CathLab ... catheterization #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... a PFO during a bowel ... #STEMI #clinical ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... Anterior wall STEMI ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... emergent cath lab ... ROSC #Comatose #CathLab ... Stratfication #Management ... #Cardiology #CriticalCare
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... isolated to I & aVL ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram ... #Cardiology #Clinical
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 ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
depression in aVL ... and in lead I, ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... current guidelines (eg ... Optimal BP management ... Enroll in HFpEF clinical ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... medical and surgical management