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cardiology diagnosis clinical differential algorithm criticalcare dissection endocarditis pocus aorticdissection aorticregurgitation balloon barre cardiacus cardiogenic chestpain chf dcsi decisionaid detroit
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... arrythmias Diagnostics: EKG ... MRI ($$$$) CORE IM ... #management #diagnosis
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... valve disease ... • Cardiac surgery ... blood pressure: e.g ... Dissection #diagnosis #management
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... Michael Macias, EM ... University #Clinical #EM ... #Radiology #POCUS ... #CardiacUS #ParsternalLong
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 Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-Aortic Balloon ... sync with the cardiac ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare
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 ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... ↑ ESR, CRP • EKG ... block, annular or aortic ... Endocarditis #diagnosis #management ... #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... failure • Mitral valve ... Valvular disease (e.g ... ., aortic insufficiency ... Mechanical prosthetic valve
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... risk (>5%): - Aortic ... medical and surgical management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
include Crackles/Rales ... hemodynamics and cardiac ... ECG is vital while ... Cardiac cath if ... differential #algorithm #management
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