11 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
Decompensated Heart Failure Management Strategies

Wet (volume overloaded) vs Dry (euvolemic) and Cold (low cardiac output) vs
Decompensated Heart ... Failure Management ... output) vs Warm (normal ... cardiac output) ... #CHF #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... #Checklist #CHF ... #HeartFailure #Cardiology ... #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
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
HEART Score – A Tool For the ED The HEART score is an excellent tool that
disposition via calculating ... the ED to help focus ... www.mdcalc.com/heart-score-major-cardiac-events ... #Diagnosis #Management ... #Cardiology #HEART
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... level <100 pg/ml EKG ... distribution • Heart ... use causing non-cardiogenic ... differential #diagnosis #cardiology
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
Decompensated Heart ... is essentially Cardiogenic ... Cardiac cath if ... differential #algorithm #management ... #heartfailure #chf
Preoperative Risk Evaluation

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