Cath Lab Digest - January 2008 - (Page 3) CONSULTING EDITORS MORTON KERN, MD Clinical Editor, Cath Lab Digest Clinical Professor of Medicine Associate Chief Cardiology University of California Irvine • Orange, CA ROBERT J. BASILE, SR., RT(R) Hackettstown Regional Medical Center Hackettstown, NJ A Product, News and Clinical Update for the Cardiac Catheterization Laboratory Specialist Januar y 2008 vol.16 no.1 DOUGLAS S. BEINBORN, MA, RN Mayo Clinic • Rochester, MN 1 Central Baptist Hospital Nanette Jackson, RT(R), Director, Cardiovascular Services, Debbie Gatewood, RN, BSN, Cath Lab Educator, and Christine McIntyre, RN, BSN, MHA, Director of the Central Baptist Heart and Vascular Institute, Lexington, Kentucky HEIDI N. BONNEAU, RN, MS Highlands Consulting, Inc. • San Jose, CA GEORGANN BRUSKI, RT(R), CRT, ARRT Beth Israel Deaconess Medical Center • Boston, MA 1 Contrast Media Use in High-Risk Patients Cath Lab Digest talks with Roxana Mehran, MD. Dr. Mehran is Associate Professor of Medicine at Columbia University Medical Center, Director of Outcomes Research, Data Coordination & Analysis for the Center for Interventional Vascular Therapies, Cardiovascular Research Foundation, Director of Data Coordinating & Analysis Center, New York City, New York. JACK P. CHEN, MD, FACC, FSCAI Northside Cardiology P.C. • Atlanta, GA PATTI COBLENTZ, RN, BSN Provena Covenant Medical Center Urbana, IL 1 An Ergonomic Survey of Cath Lab Repetitive Stress Injuries Marsha Holton, CCRN, RCIS, FSICP Cardiovascular Orientation Programs, Indian Head, Maryland 18 Personnel Announcements Congratulations to Caleb Gaither, Registered Cardiovascular Invasive Specialist (RCIS), who recently passed the Cardiovascular Credentialing International RCIS exam. He works at Parkwest Medical Center Cath Lab in Knoxville, Tennessee, which is in the process of getting all of its cardiovascular technologists (CVTs) registered. Jennifer Vittatoe, CVT, shared the news and noted, “We are very proud of him!” Cath Lab Digest welcomes notification of personnel changes as well as RCIS certification or other licensure announcements. Send your announcement to managing editor Rebecca Kapur at rkapur@hmpcommunications.com and we will publish it in the next available issue. ANDREA E. DAVIS, BA, RCIS, FSICP George Washington University Hospital Washington, D.C. MICHELE DOUGHTY VOELTZ, MD Emory University School of Medicine Atlanta, Georgia 24 Takotsubo Cardiomyopathy, a.k.a., Transient Left Ventricular Apical Ballooning Syndrome: An Acute Coronary Syndrome Imposter Brenda McCulloch, RN, MSN, CNS, Cardiovascular Clinical Nurse Specialist, Cardiac Catheterization Laboratory, Sutter Heart Institute Sutter Medical Center, Sacramento, California KENNETH A. GORSKI RN, RCIS, FSICP Sones Cardiac Catheterization Labs Cleveland Clinic Foundation • Cleveland, OH 28 ACVP• MANAGEMENT CORNER / STEMI INTERVENTIONS SECTION TODD GINAPP, EMT-P, RCIS, FSICP Memorial Hermann Southeast Houston, Texas Searching for the Key to D2B Dan Scharbach, Regional Director, Invasive Cardiovascular Services, Providence Health System, Portland Service Area, Portland, Oregon STEVE GRESSMIRE, RT(R)(CV) ARRT, AAMA Mississippi 28 STEMI INTERVENTION NEWS ‘False-Positive’ Activation of Cardiac Cath Lab May Occur in Some Patients With Suspected STEMI 31 STEMI INTERVENTIONS: COMMENTARY By Sameer Mehta, MD, FACC, MBA, Course Director – Lumen (Vascular Interventions Symposium), Miami, Florida DRUG-ELUTING STENT SOLUTIONS: The Massachusetts Stent Study This monthly column in Cath Lab Digest reviews important points of distinction in drug-eluting stents, from characteristics to techniques, to provide valuable and relevant information about this technology. This month’s column is authored by Laura Mauri, MD, MSc, an interventional cardiologist at the Brigham & Women’s Hospital, Assistant Professor of Medicine at Harvard Medical School, and Chief Scientific Officer of the Harvard Clinical Research Institute (HCRI) in Boston, Massachusetts. YOUR PATH TO SUCCESS: CAREER ADVICE MARSHA HOLTON, RN, BS, CCRN, RCIS Cardiovascular Orientation Programs Indian Head, MD GERALD LAGASSE, RCIS Borgess Medical Center • Kalamazoo, MI 36 MICHAEL LIM, MD St. Louis Health Sciences Center St. Louis, MO TOM MALONEY, MS, RCIS Memorial Regional Medical Center Richmond, VA JASON MONEY, RN, RCIS Elkins, AR 36 The Value of Educating Staff Carol Dombrowicki, Recruitment Consultant, Corazon, Inc., Pittsburgh, Pennsylvania BHAWNA OBEROI, BSRS-CBRPA, RT(R)(M) Sherman Radiology Associates Sherman, TX DEPARTMENTS 4 42 46 46 48 50 Clinical Editor’s Corner SICP* Chapter Updates CEU Education Center Meetings Calendar What Do You Think? Clinical & Industry News 58 Classifieds 62 Advertisers Index *Society of Invasive Cardiovascular Professionals Copyright© 2008 by HMP COMMUNICATIONS, All rights reserved. Opinions expressed by authors are their own and not necessarily those of their institution or HMP COMMUNICATIONS, the editorial staff, or any member of the editorial advisory board. 40 Ask the Clinical Instructor: A Q&A column for those new to the cath lab Questions are answered by: Todd Ginapp, EMT-P, RCIS, FSICP. Todd is the Cardiology Manager for Memorial Hermann Southeast in Houston, Texas. He also teaches an online RCIS Review course for Spokane Community College, in Spokane, Washington, and regularly presents with RCIS Review Courses. TIM ROHRSCHNEIDER, BMSC, RT(R) Emory University Hospital, Children's Healthcare of Atlanta • Atlanta, Georgia ANNIE RUPPERT, RN, BSN Sharp Memorial Hospital • San Diego, CA 43 HABIB SAMADY, MD, FACC, FSCAI Emory University Hospital • Atlanta, Georgia Society of Invasive Cardiovascular Professionals Holds an RCIS Review Course at New Cardiovascular Horizons Darren Powell, RCIS, FSICP, Program Director, Invasive Cardiovascular Technology Program, Spokane, Washington SICP: The JACKSON L. THATCHER, MD, FACC The Park Nicollet Heart Center at Methodist Hospital, St. Louis Park, MN 44 SICP: 18:20 To Denver — One Student’s First Clinical Experience Cassidy Lilienthal, CVT Student, Spokane Community College, Spokane, Washington SANDY WATSON, RN, BN, NFESC Switzerland 62 The Ten-Minute Interview with…Heather Vardon, RN Supervisor, Interventional Cardiovascular Services, Aurora BayCare Medical Center, Green Bay, Wisconsin •Alliance of Cardiovascular Professionals CHUCK WILLIAMS, BS, RT(R)(CV)(CI), RCIS, FSICP Atlanta, GA
Table of Contents Feed for the Digital Edition of Cath Lab Digest - January 2008 Cath Lab Digest - January 2008 Central Baptist Hospital Contrast Media Use in High-Risk Patients An Ergonomic Survey of Cath Lab Repetitive Stress Injuries Contents Clinical Editor’s Corner Takotsubo Cardiomyopathy, a.k.a., Transient Left Ventricular Apical Ballooning Syndrome: An Acute Coronary Syndrome Imposter Searching for the Key to D2B STEMI Intervention News STEMI Interventions: Commentary The Massachusetts Stent Study The Value of Educating Staff Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab SICP* Chapter Updates The Society of Invasive Cardiovascular Professionals Holds an RCIS Review Course at New Cardiovascular Horizons 18:20 To Denver — One Student’s First Clinical Experience CEU Education Center Meetings Calendar What Do You Think? Clinical & Industry News Classifieds The Ten-Minute Interview with…Heather Vardon, RN Advertisers Index Cath Lab Digest - January 2008 Cath Lab Digest - January 2008 - An Ergonomic Survey of Cath Lab Repetitive Stress Injuries (Page 1) Cath Lab Digest - January 2008 - An Ergonomic Survey of Cath Lab Repetitive Stress Injuries (Page 2) Cath Lab Digest - January 2008 - Contents (Page 3) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 4) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 5) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 6) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 7) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 8) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 9) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 10) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 11) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 12) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 13) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 14) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 15) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 16) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 17) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 18) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 19) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 20) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 21) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 22) Cath Lab Digest - January 2008 - Clinical Editor’s Corner (Page 23) Cath Lab Digest - January 2008 - Takotsubo Cardiomyopathy, a.k.a., Transient Left Ventricular Apical Ballooning Syndrome: An Acute Coronary Syndrome Imposter (Page 24) Cath Lab Digest - January 2008 - Takotsubo Cardiomyopathy, a.k.a., Transient Left Ventricular Apical Ballooning Syndrome: An Acute Coronary Syndrome Imposter (Page 25) Cath Lab Digest - January 2008 - Takotsubo Cardiomyopathy, a.k.a., Transient Left Ventricular Apical Ballooning Syndrome: An Acute Coronary Syndrome Imposter (Page 26) Cath Lab Digest - January 2008 - Takotsubo Cardiomyopathy, a.k.a., Transient Left Ventricular Apical Ballooning Syndrome: An Acute Coronary Syndrome Imposter (Page 27) Cath Lab Digest - January 2008 - STEMI Intervention News (Page 28) Cath Lab Digest - January 2008 - STEMI Intervention News (Page 29) Cath Lab Digest - January 2008 - STEMI Intervention News (Page 30) Cath Lab Digest - January 2008 - STEMI Interventions: Commentary (Page 31) Cath Lab Digest - January 2008 - STEMI Interventions: Commentary (Page 32) Cath Lab Digest - January 2008 - STEMI Interventions: Commentary (Page 33) Cath Lab Digest - January 2008 - STEMI Interventions: Commentary (Page 34) Cath Lab Digest - January 2008 - STEMI Interventions: Commentary (Page 35) Cath Lab Digest - January 2008 - The Value of Educating Staff (Page 36) Cath Lab Digest - January 2008 - The Value of Educating Staff (Page 37) Cath Lab Digest - January 2008 - The Value of Educating Staff (Page 38) Cath Lab Digest - January 2008 - The Value of Educating Staff (Page 39) Cath Lab Digest - January 2008 - Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab (Page 40) Cath Lab Digest - January 2008 - Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab (Page 41) Cath Lab Digest - January 2008 - SICP* Chapter Updates (Page 42) Cath Lab Digest - January 2008 - The Society of Invasive Cardiovascular Professionals Holds an RCIS Review Course at New Cardiovascular Horizons (Page 43) Cath Lab Digest - January 2008 - 18:20 To Denver — One Student’s First Clinical Experience (Page 44) Cath Lab Digest - January 2008 - 18:20 To Denver — One Student’s First Clinical Experience (Page 45) Cath Lab Digest - January 2008 - Meetings Calendar (Page 46) Cath Lab Digest - January 2008 - Meetings Calendar (Page 47) Cath Lab Digest - January 2008 - What Do You Think? 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