13 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pneumothorax • Pulmonary ... embolism • Cardiac ... ultrasound • CXR ... Serial troponin; HEART ... score for PE • CTA
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... - Differential Diagnosis ... Algorithm Cardiac ... out Left-Sided Heart ... RHF #RightSided #HeartFailure
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... fatal in 10% of pts ... lupus pernio • Cardiac ... : Heart failure, ... #Sarcoidosis #Diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... effusions). 1/5 pts ... → no signs of CXR ... Consider cardiac ... Jcortesizaguirr #HFrEF #heartfailure
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... hemodynamics and cardiac ... with presence of pulmonary ... Cardiac cath if ... #algorithm #management
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
pathophysiology CLINICAL ... • Monitoring cardiac ... transmitted from the heart ... - Shock/low cardiac ... interpretation #patterns #diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
) • Valvular heart ... cardiomyopathy • Pulmonary ... • Minority of Pts ... and timing with Cardio-OB ... follow-up with Cardio-OB
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... Change in clinical ... postoperative cardiac ... stratification #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
renal failure Clinical ... e.g. incidental CXR ... Pulmonary: dyspnea ... neuropathy or cardiac ... posterior MSK, heart
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
circulation and its ... The heart consumes ... of the resting cardiac ... #diagnosis #algorithm ... echocardiogram #management #clinical