64 results
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
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 ... Unstable/cardiogenic shock ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Differential Diagnosis of Low Voltage ECG #Diagnosis #EM #Cardiology #Low #Voltage #EKG #LowVoltage #Differential #Extracardiac #Cardiac
Differential Diagnosis ... #Diagnosis #EM ... #Cardiology #Low ... #Voltage #EKG # ... #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 ... in Cardiogenic shock ... , ECG predicted ... CathLab #clinical #cardiology ... #fluoroscopy
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... Elevations - ACUTE STEMI ... - PULMONARY ... #Differential # ... Diagnosis #Cardiology
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... Sounds • Pulmonary ... Pneumothorax • Cardiac ... #Diagnosis #Algorithm
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... myocardial #infarction #diagnosis
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Obstructive: • Cardiac ... #Diagnosis #Algorithm
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