13 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... or NSTEMI) Cardiogenic ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... depression in V2 - RV ... electrocardiogram #cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... Failure [e.g. ... , Pulmonary Embolism ... Supportive Measures Act ... rightventricular #cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
depression in aVL ... and in lead I, ... There is RV conduction ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
dysfunction. e.g ... • Advanced cardiogenic ... forward flow. e.g ... consumption) can lead ... catheter #diagnosis #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology ... #Management
RCA Aneurysm with TTO

57 yo male, dyslipidemia. Arrives w/ 4 hours inferior + RV STEMI in
hours inferior + RV ... STEMI in cardiogenic ... After CPR, he was ... He had a proximal ... #CardiacCath #Cardiology
Right heart dysfunction and failure in heart failure with preserved ejection fraction: mechanisms and management 
Source:
mechanisms and management ... relaxation time; LA ... myocardial performance; RV ... #Diagnosis #Cardiology ... CongestiveHeartFailure #RVFailure #Criteria
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
including negative ECG ... , CXR & trop. ... He had had an outpatient ... was metastatic pulmonary ... Echocardiogram #clinical #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... , LV thrombus, RV ... Minority of Pts: cardiogenic ... ., ACE/ARB) need ... #cardiology #treatment