33 results
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... a PFO during a bowel ... #EKG #clinical ... #ecg
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 ... NSTEMI: 1. ... Unstable/cardiogenic shock ... low (1-2) risk, +ECG ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... #Initiative #Management ... #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... segment is the only ECG ... #Differential #Algorithm ... #cardiology #occlusionMI
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... Algorithm Identify ... : HR > 180bpm ECG ... Signs of shock or ... #Algorithm #peds
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Diagnostic Checklist ... Criteria - Suspect STEMI ... Modified #Diagnosis #Checklist ... #EKG #electrocardiogram ... #ecg #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... as for septic shock ... (e.g. moderate ... resuscitation (e.g ... choledolithiasis (e.g
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... NPO, or profound shock ... #Hypokalemia #Management
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... in Cardiogenic shock ... , ECG predicted ... Patient was in shock ... CathLab #clinical #cardiology