39 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... Diagnostic Studies • POCUS ... @SkylerLentz #Cardiogenic ... #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... collapse of RV - Treatment ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
of RV Failure [e.g ... Primary/Concomitant Pericardial ... Supportive Measures Act ... rightventricular #cardiology ... #management #treatment
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... TIMI III flow in all ... major epicardial ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... death Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... Low voltage Treatment ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... pericarditis, Pericardial ... resuscitation • Cardiogenic ... #criticalcare #treatment ... #workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Revascularization, treatment ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology ... #Management
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... despite hx HTN) EKG ... #Amyloidosis #Cardiac ... Signs #Symptoms #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... records asx events, all ... (most) ECG leads ... Devices #Comparison #cardiology ... #management #holter