8 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
summation gallop • Abnormal ... ECG, echocardiogram ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... #Shock #Algorithm ... DCSI #Initiative #Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... , Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... Decompensated CHF ... Pneumothorax, Cardiac ... #criticalcare #algorithm ... #treatment #management
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Pressures and Calculations ... have a low or normal ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... RHC #PACatheter #calculations
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
sx overlap with normal ... May have typical HF ... Minority of Pts: cardiogenic ... and timing with Cardio-OB ... follow-up with Cardio-OB
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
is essentially Cardiogenic ... Cardiac cath if ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... medical and surgical management