85 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... death Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... PE-related) • PESI ... class (30-day all cause ... prognostication #diagnosis #management ... stratification #criticalcare
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... Examination: Pulmonary, Cardiac ... the underlying cause ... Hypoxemia #Dyspnea #Management ... #criticalcare #
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• If heart rate ... consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... Checklist #Diagnosis #Management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... goal-directed stepwise management ... except congenital heart ... lesions), and cardiac ... Shock #Algorithm #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... failure): • Severe heart ... Obstructive (Extra-cardiac ... → tension PTX, cardiac ... findings based on cause
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Spironolactone for Heart ... patients with heart ... cardiovascular causes ... , aborted cardiac ... hospitalization for the management
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
most frequently caused ... interstitial edema due to cardiac ... heart failure. ... The other cause ... #Clinical #Radiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... Plan definitive management ... anaesthesia #Cardiac ... Checklist #Diagnosis #Management
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Watch how the heart ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade