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cardiology diagnosis treatment cardiomyopathy peripartum algorithm artery biopsy cardiotoxicity catheter catheterization checkpoint clinical criticalcare differential equations foamed heartfailure ici icu
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
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 ... #diagnosis #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
fragment • Other: Myocarditis ... 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
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity Problem - Immune checkpoint inhibitors (ICIs) are associated with
ICIs range from myocarditis ... and heart failure ... of severe ICI myocarditis ... prednisone 1-2 mg/kg ... Initiate advanced heart
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
escalate to: ⚠️ Cardiogenic ... rheumatic disease • Myocarditis ... including giant-cell myocarditis ... experience recovery of cardiac ... recognition and management
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