This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing criticalcare. (TIMI 3 means the rate of passage of dye through the coronary artery is normal by angiography.) Lesions less than 70% are generally considered to be non-flow limiting.
Featured topics will include in-depth sessions covering non-statin lipid lowering therapies, heart failure with preserved ejection fraction, viability, imaging modalities for the assessment of coronary artery disease, and antiplatelet therapy after coronary stenting. ACC has planned the following meetings and events throughout ACC.24,
I took the patient to the criticalcare area and questioned him more on the way. It was opened and stented. I thought this was all but diagnostic, but still uncertain and I wanted to know what the Queen of Hearts thought: If the Queen says OMI with high confidence and I am worried, then I am VERY worried.
As a result, healthcare faces rising expenses from frequent emergency room visits, lengthy hospital stays, costly procedures like stent placements and bypass surgeries, as well as the long-term management of chronic conditions like heart failure (HF). These costs represent a massive portion of total health expenditures.
He has a h/o of 3 vessel disease and stents and his pain has been on and off for days. Then the patient would have been taken to the criticalcare area with a defibrillator at his side while waiting for the cath lab to be ready. This patient's pretest probability for OMI is extremely high. These are VERY high risk symptoms.
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the criticalcare section of the ED when I overheard a discussion about the following ECG. The patient was then taken to the cath lab an found to have a proximal RCA 100% thrombotic occlusion which was successfully stented.
I immediately activated the criticalcare team and walked the patient to the criticalcare area, our "Stabilization Room." Opened and stented. There are relatively large T-waves in V4-V6. The patient was otherwise healthy, had no past history, and had never had chest discomfort before. Let's record another one."
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. Plus he did a 2 year combined EM Cardiology and CriticalCare Fellowship. He had been at a clinic that day where he had complained of worsening GERD.
I activated the cath lab and brought her to the criticalcare area. Angiogram showed a distal RCA occlusion which was stented. Echo showed inferior wall motion abnormality.
It was stented with good results. Another very astute faculty physician immediately recognized that the ECG is diagnostic of posterior and lateral OMI , and activated the cath lab. The cardiology fellow came to the ED. Formal Echo next morning: The estimated left ventricular ejection fraction is 44%.
The 50-something patient with history of coronary stenting and slightly reduced LV ejection fraction. This EKG was recorded as part of a standing order for criticalcare. In the setting of prior stenting and reduced left ventricular ejection fraction, would pursue a heart team revascularization approach Syntax score 28.5,
This was stented. Crit Care Med. 1991 May;19(5):694-9 Objective: To evaluate the efficacy and safety of potassium replacement infusions in critically ill patients. Setting: Multidisciplinary criticalcare unit. After pacing, there was no recurrence of Torsades. The patient stabilized. mEq/L: The STE is resolved.
The patient arrived at the Emergency Dept criticalcare area and had this ECG recorded: The sinus bradycardia persists. He was successfully stented. EMS obtained a second ECG one minute later: It appears the patient’s inferior STEMI has reperfused, as there is resolution of the inferior STE.
Hunter Mehaffey Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)
Hunter Mehaffey 1 Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara 2 Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)
20 cases with pseudonormalization Case continued The patient was moved to the criticalcare area, and cardiology was consulted. But you expect normalization if the time period is weeks to months. Here are 9 cases that involve re-occlusion. Cardiology correctly interpreted the ECG and did not want to activate the cath lab.
After stent deployment, we often see improvement in the ST-T within seconds or minutes. Here is the final angiogram following placement of a stent in the ostial RCA. 2:04 PM, post stent deployment You can see that even after complete restoration of flow, the ECG still looks terrible, V most of all. link] Jentzer, J. Kashou, A.
It was opened and stented. There is STE in V5-6. There are new Q-waves in aVL, V5-6. The ramus is an occasional artery between the circumflex and the LAD, and often takes the place of a large first diagonal, and has the same distribution. Regional wall motion abnormality--mid anterior akinesis.
We organize all of the trending information in your field so you don't have to. Join thousands of users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content