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diagnosis differential management algorithm criticalcare treatment artery calculations cardiogenic cardiomyopathy catheter cathlab chf clinical dcsi detroit electrocardiogram elevation equations foamed
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 ... Unstable/cardiogenic shock ... low (1-2) risk, +ECG ... #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 ... Fick calculated cardiac ... Initiative #Management #Cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
state) • Tachycardia ... EKG • Ensure ... dilated IVC - Cardiac ... 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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... essentially Cardiogenic Shock ... Cardiac cath if ... algorithm #management #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
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
of pregnancy (e.g ... ⚠️ Cardiogenic shock ... Genetic variants (e.g ... deficiencies (e.g ... Consider biomarkers (e.g
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