7 results
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
moderate diastolic dysfunction ... filling (impaired LV ... electrocardiogram, MI ... Grades #Criteria #Table ... #Assessment
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
pneumothorax LV ... Acute valve dysfunction ... Endocarditis - Post-MI ... LV outflow Obstruction ... Cardiogenic #Comparison #Table
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
exercise, after acute MI ... patients with LV ... dysfunction who ... #Fibrillation #AFib ... treatment #comparison #table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Severe LV dysfunction ... New/worsening MR ... Rx: NSTEMI/UA: stable
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
with or without LV ... dysfunction → exclude ... thrombus, RV systolic dysfunction ... ancestry, LGE on MRI ... during Delivery • Stable
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
Hypokalemia, Erectile dysfunction ... receptor antagonists (MRA ... grade 2-3), Severe LV ... dysfunction, Heart ... contraindications #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... physical exam - Key components ... with valvular dysfunction ... or LV dysfunction ... Stable patients