24 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 ... Recurrent/persistent rest ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... Here’s a deadly ECG ... *will* go into Cardiac ... Arrest! ... #cardiology #clinical
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
with ROSC after cardiac ... arrest Computer ... is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
help stratify cardiac ... arrest patients ... Comatose #CathLab #NSTEMI ... Stratfication #Management ... #Cardiology #CriticalCare
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
Ischemic Symptoms ï‚· EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... Compared Ambulatory ECG ... events, all (most) ECG ... Monitoring #Devices #Comparison ... #cardiology #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vascular Resistance, Cardiac ... - Dopamine, medium ... Internet Book of Critical ... Pharmacology #Effect #Management ... #Comparison #Inotropes
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... Clinical Presentation ... despite hx HTN) EKG ... Signs #Symptoms #Cardiology