38 results
Pulmonary Embolism: Odds Ratios for the ECG Components for the Risk of Hemodynamic Collapse or Death

Findings
Ratios for the ECG ... Components for ... Predict Circulatory Shock ... Meta‐analysis #ECG ... S1Q3T3 #Predictive #Diagnosis
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 #catheterization
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... However, when the diagnosis ... or the type of shock ... (eg, acute valvular ... #Differential #Table
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Myocarditis #Diagnosis
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... syncope Tests: ECG ... , Brain MRI, Cardiac ... EricsMedicalLectures/ #Syncope #diagnosis ... Effectiveness #table
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... mortality in inferior MI ... RV dysfunction. e.g ... forward flow. e.g ... artery #catheter #diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... #Differential #Diagnosis ... Classification #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... #inopressors #diagnosis ... management #comparison #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... Cardiac surgery/catheterization ... deficit • Shock ... blood pressure: e.g ... Aortic #Dissection #diagnosis