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Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Diagnosis #Management ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Manage chronic cardiac ... #diagnosis #management ... #cardiology #summary
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... #Causes #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... dissection, PE, peri/myocarditis ... #EKG #diagnosis ... electrocardiogram #cardiology
Myocardial Injury Classification Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD Acute nonischemic myocardial injury: - Primary
illness: Myocarditis ... illness: Critical ... Classification #diagnosis ... #cardiology #troponemia ... #NSTEMI
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
STEMI with Tombstones and Shark Fins Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... Here’s a deadly ECG ... *will* go into Cardiac ... @EM_RESUS #STEMI ... #cardiology #clinical
Hypertrophic Cardiomyopathy ECG and Clinical Features #HOCM #Hypertrophic #Cardiomyopathy #Diagnosis #Management #Cardiology
Cardiomyopathy ECG ... and Clinical Features ... Cardiomyopathy #Diagnosis ... #Management #Cardiology
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
Hyperkalemia on EKG ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Takotsubo Cardiomyopathy on POCUS 78 year old woman - Acute delirium but complaining of chest pain ECG:
of chest pain ECG ... chest leads Cardiac ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
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