15 results
Distinguishing Between Benign Early repolarization vs STEMI on EKG
#Diagnosis #Cardiology #ECG #EKG #Repolarization #STEMI #Comparison #Table
on EKG #Diagnosis ... #Cardiology #ECG ... #EKG #Repolarization ... #STEMI #Comparison ... #Table #ALiEM
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #CathLab #Indications
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... Pulmonary #Embolism #ECG ... #EKG #Electrocardiogram ... #clinical #cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Echocardiogram (A4C ... ) ECG has been ... stable for years ... #hypertrophic #clinical ... #cardiology #pocus
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Pericardial Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... Echocardiogram #A4C ... #Clinical #Cardiology
Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary
, such as this patient ... breath and ischemic EKG ... changes (but no STEMI ... Echocardiogram #PSAX #clinical ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... stratification #diagnosis