21 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... in shock with VT ... LMCA #Angiogram #CathLab ... #clinical #cardiology
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 ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... believe that the ST ... segment is the only ECG ... Differential #Algorithm #cardiology ... infarction #diagnosis #coronary
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
help stratify cardiac ... activation for coronary ... ROSC #Comatose #CathLab ... Stratfication #Management ... #Cardiology #CriticalCare
Recommendations for initial management of Unstable Angina/NSTEMI

Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... angina/non— ST-segment ... infarction (UA/NS TEMI ... aspirin; CABG, coronary ... #Algorithm #Cardiology
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 ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Mechanical Cardiac Support Devices Compared
Cannula Size - Insertion Technique - Haemodynarnic Support
IABP:
 • Afterload: Reduced
 •
Mechanical Cardiac ... Slight increase • Coronary ... #Mechanical #Cardiac ... Support #Devices #Comparison ... #cardiology #management
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
the ground in cardiac ... These ECG changes ... There are ST deviations ... which often mimic coronary ... Hemorrhage #SAH #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
attributed to coronary ... of epicardial coronary ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... stroke volume (SV ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare