37 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
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical ... #fluoroscopy #angiography
Differential Diagnosis of Low Voltage ECG #Diagnosis #EM #Cardiology #Low #Voltage #EKG #LowVoltage #Differential #Extracardiac #Cardiac
Differential Diagnosis ... Diagnosis #EM #Cardiology ... #Low #Voltage #EKG ... #LowVoltage #Differential ... #Extracardiac #Cardiac
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... features of the EKG ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation ... #STSegment #Differential
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... LMCA #Angiogram #CathLab ... #clinical #cardiology ... #fluoroscopy
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ultrasound and fluoroscopy ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... #clinical #cardiology ... #CardiacCath #CathLab ... #fluoroscopy #catheterization
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential