30 results
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
old with chest ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Algorithm that ... (+LR 2.6) - Cardiac ... - History - EKG ... #cardiology #Angina
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Lymphangiomyomatosis (LAM ... #Clinical #Radiology ... #HRCT #CTChest ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Lymphangiomyomatosis (LAM ... #Clinical #Radiology ... #HRCT #CTChest ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... #EKG #diagram #Electrocardiogram ... EinthovenTriangle #Cardiac ... EmergencyMedicine #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... TIMI III flow in all ... Initiative #Management #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
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... LMCA lesion -> Cardiac ... coronary syndrome (ACS ... Diagnosis #Management #Algorithm ... #Cardiology #EBM