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

Stress Test -> ? +moderate or severe
Angina Stress ... LMCA lesion -> Cardiac ... Catheterization ... #Angina #ChestPain ... #Diagnosis #Management
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Unstable Angina ... postoperative cardiac ... CARP, DECREASE V trials ... stratification #diagnosis
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Venous System/Right Heart ... Angiography or Cardiac ... TTE, TEE, CT or MRI ... Presence of embolic risk ... Artery #Embolism #diagnosis
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... CARDIAC POWER OUTPUT ... correlate in the SHOCK trial ... much as 40% in cardiac ... artery #catheter #diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
) • Valvular heart ... ancestry, LGE on MRI ... and timing with Cardio-OB ... during Delivery • Stable ... follow-up with Cardio-OB