Practical bedside topics in cardiology including ECG interpretation, hemodynamics, coronary angiography, PCI, and cardiothoracic thoracic.

So it begins… The debate on troponin in the U.S.

2016-10-13T18:16:33-05:00August 11th, 2013|Cardiology|

This is my first official contribution to Resus Review. I wanted to start with a follow up on my recent comment on cardiac troponin. Cardiac biomarkers, particularly troponin, have become an essential tool in the work up of patients with symptoms suggestive of ischemia in which an "AC

Limit troponins to evaluation of cardiac ischemia and ACS

2014-10-16T18:20:46-05:00August 11th, 2013|Cardiology|

Its important to understand that in the US the FDA has not yet approved the high-sensitivity (hs) troponin assays. Therefore we are still talking about the so-called contemporary troponin assays. The current assay is a good test, and the high-sensitivity troponin will have even better

DKA presenting as Wide Complex Tachcyardia

2016-10-13T18:16:36-05:00May 18th, 2013|Cardiology, ECG, Stabilization|

29-year-old man with history of type 1 diabetes mellitus and currently living in a hotel, presented to the emergency department with 2-weeks of feeling ill with had accelerated and was much worse over the last 2 days. This included a productive cough, subject fevers, and frequent v

Lead Placement for Posterior ECG

2016-10-13T18:16:41-05:00March 10th, 2013|Cardiology, ECG|

The leads V4-V6 are removed and substituted for V7-V9 as shown below. On most EKg machines, the labels areno automatically changed so it is important to cross out the labels for V4-V6 and write in V7-V9. It is also helpful for future clinicians, if you note in your read that it is a p

STEMI with Dual Culprit Lesions

2016-10-13T18:16:41-05:00March 10th, 2013|Cardiology, ECG|

This 59-year-old gentlemen presented with 3 hours of severe upper sternal chest pressure that radiated to his throat which he described as “strangulating”. No previous cardiac history.

Coronary Artery Naming Convention

2016-10-13T18:16:41-05:00February 18th, 2013|Cardiology|

The names of the major coronary arteries are well known. However, the nomenclature of the secondary coronary arteries can be confusing. Familiarity with the names of these vessels is useful when reading coronary angiogram reports, having discussions with your interventionalist, and do

Peripartum Cardiomyopathy

2013-11-30T00:30:22-06:00February 18th, 2013|Cardiology|

What is the etiology of peripartum cardiomyopathy? The etiology is unknown; multiple etiologies have been proposed. The most substantiated etiology is viral myocarditis.. It is thought that the relative immunosuppression of pregnancy may increase the risk of viral myocarditis (JEM, V.