15 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... Diagnostic Studies • POCUS ... @SkylerLentz #Cardiogenic ... #cardiology
Decompensated Heart Failure Management Strategies

Wet (volume overloaded) vs Dry (euvolemic) and Cold (low cardiac output) vs
Heart Failure Management ... and Cold (low cardiac ... output) vs Warm (normal ... cardiac output) ... #CHF #cardiology
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
Fulminant: - Acute HF ... , Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... hepatomegaly - normal ... despite hx HTN) EKG ... Signs #Symptoms #Cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... disease • Normal ... level <100 pg/ml EKG ... use causing non-cardiogenic ... differential #diagnosis #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... have a low or normal ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... catheter #diagnosis #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
May have typical HF ... Minority of Pts: cardiogenic ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #cardiology #treatment