1/10 🅲🆂🅴-🆂🅴🅳 🆃🆄🆃🆁🅸🅻

🆆🅴🅴🅺 “𝐂𝐨𝐫𝐨𝐧𝐚𝐫𝐲”
April 20-21, 2020 @Lross246
@ACCinTouch @mirvatalasnag @jedicath #ACCIC

2/10 @jedicath @chadialraies

3/10: 74yo presents post cardiac arrest

@aayshacader @rahatheart1 @biljana_parapid @cardioPCImom @mmamas1973 @ShariqShamimMD @MusaSharkawi @DrMarthaGulati @DBelardoMD @NadeenFaza @noshreza @purviparwani

Ref : https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations

4/10 #ACCIC
@PinakShahMD @SripalBangalore @SrihariNaiduMD @SVRaoMD @ajaykirtane @MayraGuerreroMD @Drroxmehran @JDawnAbbott1 @mszerlip @HenrytTimothy @n_kleiman

?Presumed Covid!!?

Donning and Doffing protocol
https://bit.ly/3evscGy 

https://bit.ly/2xC4qrC 

5/10
@yaqoub_lina @heartdocandcrew @KhandelwalMD @BillONeillMD @onco_cardiology @MarwanSaadMD @skilicmd @DrAdaStefanescu @PushpaShivaram @marktuttle @atunuguntla1

An estimated 38% reduction in US cardiac catheterization laboratory STEMI activations!
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151384/pdf/main.pdf

6/10
The real question in the age of #COVID19, what is on your differential for this kind of presentation?
From ACC's Interventional Council & SCAI consensus : Catheterization Laboratory Considerations During the COVID-19 Pandemic: https://bit.ly/2ystHVa 

Your Diagnosis:

7/10 Next Step?

VF arrest s/t STEMI

Additional reading :Of 18 patients with Covid-19 in New York City who had ST-segment elevation indicating potential acute myocardial infarction, 9(50%) underwent angiogram, 5(56%) of them underwent PCI
https://bit.ly/2Kk1X7T 

8/10 As far as what happened next? Well, a picture's worth a thousand words!

Fick CO 3.26 L/Min, CI 1.68 L/Min/M2 and SVR 1450
Impella placement

Another
PCI to mid and distal LAD with DES

@trivaxheartmd @CVCTForum @AbbottNews @HeartFailureTip @HeartDocSharon @heartdoc101 @Heartdoc530 @heartdoc32 @cardioPCImom @JAMACardio @CN_publishing @CardioBot @escardio

9/10 Angiogram films (contd.)
@HafizaKMD @SamRRazaMD @PerksterVT @FKeatingMD @CDeStephanMills @DrRachelMBond @drmonalidesai @KittyKatzMD @heartdr @drjeffle

10/10 Finally Takeaways from the ACC SCAI consensus statement on Catheterization Lab Considerations during COVID-19 courtesy @ajaykirtane
@AnkurKalraMD @CCIJournal @rwyeh @willsuh76
@DrQuinnCapers4 @tanveerrab @agtruesdell
@payamde @mmamas1973 @iamritu
@JACCJournals #CCC