37 results
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab ... #fluoroscopy
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
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... LMCA #Angiogram #CathLab ... #clinical #cardiology ... #fluoroscopy
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical ... #fluoroscopy #angiography
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... an isolectric ST ... STEMI Criteria misses ... Occlusion #Total #ECG ... #Clinical #Cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
on Cardiac Cath ... atrial rhythm with ST ... #clinical #cardiology ... #CardiacCath #CathLab ... #fluoroscopy #catheterization
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... authors state that ST ... aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG
LAD Stenosis on Cardiac Cath

UCSD Internal Medicine @ucsdim

#LAD #Stenosis #Cardiac #CathLab #clinical #fluoroscopy #cardiology
LAD Stenosis on Cardiac ... LAD #Stenosis #Cardiac ... #CathLab #clinical ... #fluoroscopy #cardiology
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior