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diagnosis differential algorithm criticalcare shock treatment artery atrial calculations cardiogenic catheter cathlab chf clinical dcsi detroit electrocardiogram elevation endocarditis equations
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
• At least 3 different ... • Hypoxia • Pulmonary ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Indications #Cardiac ... #catheterization ... #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... shock state) • Tachycardia ... EKG • Ensure ... Tamponade - Pulmonary ... Cardiac surgery?
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... forward flow. e.g ... much as 40% in cardiac ... catheter #diagnosis #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Physical exam • 12-lead ... ECG • Limited ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... QRS complex Pulmonary ... block; and sinus tachycardia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... Cardiac cath if ... differential #algorithm #management ... #cardiology #treatment
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Cerebral > Splenic, pulmonary ... occlusion that may lead ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
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