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cardiology algorithm angiogram artery cathlab clinical dcsi detroit initiative left lmca main management shock thrombus
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... established, but died on table ... #fluoroscopy
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 DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... ultrasound and fluoroscopy ... place IMPELLA Coronary
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