22 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... “Mother of all coronary ... Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Delivery (Pre-Coronarv ... Transient Intra-Coronary ... Occlusion • Stable ... Differential #Diagnosis #Algorithm
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... #Differential #Algorithm ... infarction #diagnosis #coronary
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable ... severe ischemia -> Coronary ... not for acute coronary ... Diagnosis #Management #Algorithm
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
and published an algorithm ... activation for coronary ... CardiacArrest #Algorithm ... ROSC #Comatose #CathLab
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... Definitions - Stable ... NSTEMI, STEMI 1 STABLE ... is reflected by ECG ... Text: The Only EKG
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
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Sub-Valvular Disease Coronary ... Artery Disease • Stable ... Angina • Acute Coronary ... Differential #Diagnosis #Algorithm
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 ... place IMPELLA Coronary ... administration of intra-coronary ... Cardiogenic #Shock #Algorithm
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... tachycardia #Management #Algorithm