7 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Angina Stress ... LMCA lesion -> Cardiac ... Catheterization ... #Angina #ChestPain
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
persistent rest angina ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... Pulmonary arterial catheterization ... output (ie, cardiac ... pressure) -right atrial ... #Differential #Table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
• Effusion • Cardiac ... Artery Disease • Stable ... Angina • Acute ... Arrhythmia • Atrial
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... mortality in inferior MI ... CARDIAC POWER OUTPUT ... correlate in the SHOCK trial ... much as 40% in cardiac
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Stable patients ... Unstable Angina ... postoperative cardiac ... CARP, DECREASE V trials
Intraoperative Cardiac Free Wall Rupture
Free wall rupture...yes we can save them
Following a syncope event, a 72-y
Intraoperative Cardiac ... brought to the ER, stable ... no history of cardiac ... pericardial effusion, CT ANGIO ... the OR for post MI