12 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
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
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
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
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 ... ultrasound and fluoroscopy ... Fick calculated cardiac ... Initiative #Management #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
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
Obstruction on Cardiac ... #Obstruction #Cardiac ... Catheterization #Cathlab ... #Fluoroscopy #cardiology ... #clinical #STEMI
Mid-Ventricular Takotsubo Cardiomyopathy on Ventriculogram

The lost art of the LV gram!
45 YO female. ECG: dynamic anterior
ECG: dynamic anterior ... ST changes. ... Ventriculogram #Fluoroscopy ... #Cardiology #Clinical ... #CathLab