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cardiology management criticalcare differential treatment comparison acs catheterization causes clinical evaluation foamed pacatheter pressures syncope testing workup acidosis angina artery
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... syncope Tests: ECG ... , Telemetry, Cardiac ... , Brain MRI, Cardiac ... Effectiveness #table
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... contractility) - Acute MI ... #Differential #Diagnosis ... #Classification ... #Table #CriticalCare
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... pneumothorax, cardiac ... #Classification ... #Types #diagnosis ... warm #wet #dry #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... uw_IMresidency #Shock ... #table #comparison
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... - MI, arrhythmia ... Cardiac surgery? ... #Diagnosis #Management
Diastolic Function Grading - Schematic diastolic filling patterns I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... electrocardiogram, MI ... #Diagnosis #Cardiology ... Dysfunction #Grading #Classification ... Grades #Criteria #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
Unstable/cardiogenic shock ... New/worsening MR ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac
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