Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite intensive medical therapy
4. New/worsening MR, new VSD
5. Sustained ventricular arrhythmia
Cath lab w/in 24 h: NSTEMI/UA, TIMI intermediate (3-4) or high (5-7) risk
Cath lab prior to d/c: NSTEMI/UA, TIMI low (1-2) risk, +ECG changes or troponin
Medical Rx: NSTEMI/UA: stable, TIMI low (1-2) risk
- BWH Medicine Chiefs @BrighamChiefs
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