11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
and Workup Algorithm ... infarction • Aortic ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... Serial troponin; HEART
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
chest/abd/back pain ... Marfans, EDS ... disease • Cardiac ... Pulse deficit/differential ... opiates • Control heart
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Vasculitides 5% (PAN ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... hypovolemia), Meds ... #Diagnosis #algorithm
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Acute Abdominal Pain ... Diagnostic Algorithm ... quadrant: R/O cardiac ... Ruptured abdominal aortic ... Metabolic disease (e.g
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
Undifferentiated critical ... determines if cardiac ... interrupted arch, aortic ... #presentation #Differential ... Blue #Gray #Baby #Peds
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... prosthetic valve NON-CARDIAC ... Symptoms: • Chest pain
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 ... Obtain EKG if: ... Change in clinical ... postoperative cardiac
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Clinical • Under-recognized ... and timing with Cardio-OB ... teratogenic GDMT meds ... follow-up with Cardio-OB
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... hemodynamics and cardiac ... Cardiac cath if ... #diagnosis #differential ... #algorithm #management
Intraoperative Cardiac Free Wall Rupture
Free wall rupture...yes we can save them
Following a syncope event, a 72-y
Intraoperative Cardiac ... no history of cardiac ... described back pain ... ANGIO ruled out aortic ... Intraoperative #Cardiac