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cardiology artery catheterization clinical diagnosis evaluation fluoroscopy inpatient left lmca main perioperative preop preoperative risk stratification thrombus
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 ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Inpatient #CathLab ... #Indications #Cardiac
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 ... Thrombus #LMCA #Angiogram ... #CathLab #clinical
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... the type of and indication ... • Preoperative coronary
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