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ekg clinical electrocardiogram diagnosis catheterization differential fluoroscopy management algorithm checklist criteria equivalents modified occlusion sgarbossa stelevation wraparound activation anesthesia anesthesiology
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... diffuse PR dep) NSTEMI ... big R or R/S>I STEMI ... electrocardiogram #cardiology
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
ST segment elevation in acute myocardial ischemia ST segment elevations with straight (horizontal, upsloping or downsloping) or
acute myocardial ischemia ... acute transmural ischemia ... to be caused by ischemia ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Wraparound LAD STEMI on Cardiac Cath 47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... #STEMI #clinical ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
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 Wraparound LAD STEMI on EKG 47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... Initiative #Management #Cardiology
Hyperkalemia EKG - K of 8.5 Here’s an #ECG of a man with ROSC after cardiac arrest Computer
with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... is a contrast load ... #Cardiology #Clinical
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
help stratify cardiac ... emergent cath lab ... ROSC #Comatose #CathLab ... #NSTEMI #Activation ... Stratfication #Management #Cardiology
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