15 results
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 ... Recurrent/persistent rest ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology ... Interpretation #differential
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
with ROSC after cardiac ... arrest Computer ... is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Causes of Sudden Cardiac ... Arrest Primary ... heart disease: CAD ... #Arrest #cardiology ... #differential #
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Diagnostic Checklist ... Discordance" = ST ... Criteria - Suspect STEMI ... Modified #Diagnosis #Checklist ... #ecg #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... flutter (3) SVTs ... (4) SA node arrest ... electrocardiogram #cardiology ... #differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
the ground in cardiac ... arrest. 911 was ... There are ST deviations ... confirmed SAH and Cath Lab ... Hemorrhage #SAH #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
arrest trolley ... and 12-lead ECG ... ECG as soon as ... consultation with cardiology ... Intraoperative #Checklist
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia
Worry about hypokalemia; this patient had
of long QT, ST-depression ... ; this patient had ... cardiac arrest ... #ECG #Electrocardiogram ... #Cardiology #Clinical