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

Stress Test -> ? +moderate or severe
Angina Stress ... LMCA lesion -> Cardiac ... Catheterization ... #Angina #ChestPain ... Management #Algorithm #Cardiology
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 ... #Indications #Cardiac ... #catheterization ... #cardiology
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 • Receptors: β1
 • Indications: Rate control of a-fib/a-flutter, Suppression
angina, Acute coronary ... syndrome, Post-MI ... angina, Essential ... Pharmacology #Comparison #Table ... #Receptors #cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Descents, Rales,+S4, MR ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... #differential #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac ... Stress #Testing #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... catheter #diagnosis #cardiology
Mobile Aortic Thrombi - Gated aortic magnetic resonance imaging revealed four intraaortic thrombi (arrows) attached to
synchrony with the cardiac ... cycle #Clinical #Radiology ... #MRI #AorticThrombi ... MobileThrombi #NEJM
Post Cardiac Catheterization Complications
Access site complications
 • Hematoma - Pain, swelling, bruising
 • Retroperitoneal bleed -
Post Cardiac Catheterization ... presyncope • MI ... diaphoresis • Cardiac ... #Catheterization ... Complications #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Stable patients ... one post op Cardiology ... Unstable Angina ... postoperative cardiac
Coronary-Artery Vasospasm - Cardiac catheterization was performed, and the findings showed mild nonobstructive coronary stenosis in
Coronary-Artery Vasospasm - Cardiac ... catheterization ... absent) #Clinical #Cardiology ... CoronaryArteryVasospasm #Angiogram #NEJM