9 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... edema - Large ... antiarrhythmics - Ischemic cardiomyopathy ... #Checklist #CHF ... #Management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Peripartum Cardiomyopathy ... • Pulmonary embolus ... May have typical HF ... orthopnea, PND, LE edema ... #cardiology #treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Prednisone 5mg/kg ... myalgias, HoTN, edema ... Imaging: CXR- pulmonary ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression Takotsubo Cardiomyopathy ... interval J Wave Syndromes ... QRS complex Pulmonary ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
cardiomyopathy ... may present with pulmonary ... edema (deteriorate ... diagnostic procedures (eg ... , induction of anesthesia
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... edema (“B-lines ... acute coronary syndrome ... differential #algorithm #management ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... disease b) CHF ... indicated • EKG ... Obtain EKG if: ... medical and surgical management
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
pain, Diffuse edema ... filling +++ (risk of pulmonary ... edema) Treatments ... ) • IVIg 2 g/kg ... #diagnosis #management
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Dyspnea, orthopnea, edema ... edema in the absence ... • Pulmonary edema ... recognition and management ... #Cardiology #OBGyn