12 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #criticalcare # ... algorithm #treatment #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... , echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... #Diagnosis #Management ... #Summary #criticalcare
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
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... AMS, SOB from CHF ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology ... #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... Cardiac cath if ... #algorithm #management ... #heartfailure #chf ... #criticalcare #
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
May have typical HF ... Pts: cardiogenic shock ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #management #cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
of the resting cardiac ... heart (Sepsis, Shock ... #diagnosis #algorithm ... #cardiology #echocardiogram ... #criticalcare #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... indicated • EKG ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis