Dr Monirul Islam: Anaesthesiologist

09/01/2026

STEMI is associated with

1......Lower Ejection Fraction

2....Higher incidence of Heart Failure ( HFrEF)

3....Higher immediate & in hospital mortality

09/01/2026

Sign of successful reperfusion by Primary Percutaneous Coronary Intervention ......

Time Gap.....4 Hours
.Normalization of ST elevation without development of pathological Q waves

09/01/2026

Signs of Succesful Reperfusion by thrombolytic therapy.....Time Gap...1 hour

1.....Relief of Chest Pain
2.....Resolution of initial ST segment elevation by at least 50%
3.....T wave inversion
4.....Presence of accelerated idioventricular rhythm

09/01/2026

Acute Coronary Syndrome 💊👨‍⚕️

STEMI
●●●
Immediate Reperfusion

●●●
1...Thrombolytic therapy ....... Door to Needle Time

2....Primary Angioplasty .....Primary Percutaneous Coronary Intervention .......Door to Balloon Time

23/12/2025

Treatment of Severe Symptomatic Hyponatremia

01/08/2025

31/07/2025

We Care When You Are Not Aware 😊😊😊😊😊

23/05/2025

Septic shock

11/05/2025

5 Elements
Of
Bundle Care

1. Ventilator bundle

2.Central line bundle

3.CAUTI bundle

4.Surgical Site Infection (SSI)

5.Sepsis Resuscitation Bundle

17/04/2025

Fluid therapy can be considered to take place in 4 phases,

termed the SOSD Phases.

12/01/2025

AECOPD is defined as

an event in the natural course of the disease characterised by change in

dyspnoea ,

Cough or

Sputum