23 results
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
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
severe chest pain after ... close relative, ECG ... diagnosis was STEMI ... 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
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
angiogram shot after ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical ... #fluoroscopy #angiography
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
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
on Cardiac Cath ... What's the culprit artery ... #clinical #cardiology ... #CardiacCath #CathLab ... #fluoroscopy #catheterization
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
come before or after ... STEMI - look for ... ST elevation in ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
Obstruction on Cardiac ... length of the artery ... Catheterization #Cathlab ... #Fluoroscopy #cardiology ... #clinical #STEMI
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