65 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... Thrombus / Embolism: Cardiac ... strangulation), Heart ... /Vessels (Heart ... #Diagnosis #algorithm
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
classification, and the HEART ... (+LR 2.6) - Cardiac ... factors Calculate a HEART ... - History - EKG ... ACS #Evaluation #diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... Serial troponin; HEART
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Target Receptor, Heart ... Vascular Resistance, Cardiac ... Internet Book of Critical ... Pharmacology #Effect #Management
A good approach when dealing with hypotension at the bedside includes using the following systematic four
Heart Rate 2. ... Cardiac Performance ... Vascular Resistance #Diagnosis ... #Management #EM ... Hypotension #Approach #Algorithm
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 ... #Diagnosis #table
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... Care Medicine algorithm ... goals—restore and maintain heart ... except congenital heart ... lesions), and cardiac
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Diagnosis Algorithm ... Cardiac Causes ... out Left-Sided Heart ... #Diagnosis #Algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... Diagnosis Algorithm ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... #Diagnosis #Algorithm