10 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... failure • Elevated troponin ... cardiac death Management ... #Management #Cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
- History - EKG ... factors - Initial troponin ... SatyaPatelMD #ChestPain ... ACS #Evaluation #diagnosis ... #Algorithm #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
positional • Variable troponin ... elevation Diagnosis ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
• Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology ... #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
to an elevated Troponin ... our friends from Cardiology ... ensues, and the Troponin ... #diagnosis #management ... foamed #algorithm #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
to an elevated Troponin ... ensues, and the Troponin ... #diagnosis #algorithm ... #management #clinical ... #criticalcare #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... /NT-proBNP and Troponin ... #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
test and ECG obtained ... Obtain an ECG at ... on the repeat ECGs ... #Management #PatientInfo ... #Cardiology #ChestPain
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... will also get an EKG ... : • Lactate, Troponin ... Pearls #Checklist #diagnosis ... #workup #criticalcare
GRACE-1 Guidelines for Adult Patients with Recurrent Low-Risk Chest Pain

1) Pain > 3 hours - A
high sensitivity troponin ... years - No further diagnostic ... recommended #ChestPain ... GRACE #Guidelines #cardiology ... #management