24 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pulmonary embolism • Cardiac ... : • EKG • Bedside ... , PT. aPTT • Serial ... troponin; HEART score ... • PERC; Well score
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Telemetry, Cardiac ... , Carotid U/S, EEG ... Syncope #diagnosis #workup ... Effectiveness #table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... /kg/min - Milrinone ... , medium 4-10 mcg ... Vasopressors #Properties #Table
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... If persistent ST ... Diagnosis #Management #Workup
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
despite intensive medical ... low (1-2) risk, +ECG ... changes or troponin Medical ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... arrythmias Diagnostics: EKG ... CT/MRI ($$$$) CORE ... COREIMpodcast #Cardiac
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Oliguria • Altered Mental ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... dilated IVC - Cardiac ... Cardiac surgery?
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Medical history ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac
To be eligible for hospice beneficiaries with Alzheimer’s disease must have a FAST Scale of greater
objects; subjective work ... complex tasks (e.g ... 7d: Unable to sit ... Pressure Ulcers, UTI ... #FAST #Stage #Score
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... deteriorating on medical ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g