13 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... Decompensated CHF ... Pneumothorax, Cardiac ... #criticalcare #algorithm ... #treatment #management
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 ... Low voltage Treatment ... Myocarditis #diagnosis #management
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
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
sometimes advanced treatment ... Treatments may include ... : cardiac resynchronization ... #Management #Cardiology ... Stages #ACCAHA #Algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... Revascularization, treatment ... #Checklist #CHF ... #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... pulmonary disease or CHF ... pulmonary disease or CHF ... #management #cardiology ... #algorithm
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
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
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
MANIFESTATIONS: • The cardinal ... protein with a normal ... Electrodiagnostic studies (Ex EMG ... and cauda equina TREATMENT ... Syndrome #diagnosis #management