12 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
ruptures and a thrombus ... plaque rupture and thrombus ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
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
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Coronary Artery Thrombus ... Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... CathLab #clinical #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS Echocardiogram ... EKG unremarkable ... This was her EKG ... Confirmed to have LAD occlusion ... #clinical #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... LVEDd > 6.0 cm, LV thrombus ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
Cardiac LV Thrombus ... on Echocardiogram ... then the next tests ... are not POCUS: serial ... #Cardiac #LV #Echocardiogram
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... on Echocardiogram ... then the next tests ... are not POCUS: serial ... #Cardiac #LV #Echocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Medical history ... determine if stress test ... indicated • EKG ... Obtain EKG if:
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... (UPC) ratio • Cardiac ... anti-GBM) Other tests ... o infection • Echocardiogram ... recent DAN) • EMG