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Cardiogenic Shock - Diagnosis and Management Summary Identifying Hypoperfusion from Cardiac Dysfunction • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... #Cardiogenic #Shock ... #Diagnosis #Management ... #cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... - Pulmonary >> Acute ... Cardiac surgery? ... #Diagnosis #Management
Pulse Abnormalities - Differential Diagnosis Algorithm Unequal/DeIayed: • Obstructive arterial disease (ie. Atherosclerosis) • Aortic dissection •
pressure >10mmHg: • Cardiac ... tamponade • AECOPD/ Acute ... • Hypovolemic shock ... followed by rapid collapse ... Abnormalities #Disorders #Cardiology
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... vasoactive drug pharmacology ... #inopressors #diagnosis ... #management #comparison
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology
Cardiogenic Shock - Diagnostic Algorithm Suspicion of cardiogenic shock: Hypoperfusion with suspected cardiac etiology #Cardiogenic #Shock #Diagnosis #Algorithm
Cardiogenic Shock ... - Diagnostic Algorithm ... with suspected cardiac ... #Diagnosis #Algorithm ... #workup #cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Management #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... insufficiency, acute ... pneumothorax, cardiac ... Classification #Types #diagnosis ... #management #cold
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... insufficiency, acute ... pneumothorax, cardiac ... Classification #types #diagnosis ... #management #criticalcare
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