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diagnosis checklist arrhythmia differential electrocardiogram icu myocarditis sinus treatment variants admissions admitting algorithm biopsy bradycardia cardiomyopathy chf endocarditis foamed heartfailure
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Internet Book of Critical ... Endocarditis #checklist #criticalcare
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
change in P wave contour ... #diagnosis #ekg ... #ecg #electrocardiogram ... #variants #clinical ... #comparison
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... Chest Pain • ECG ... Connect ECG Leads ... #cardiology
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... #Shock #Management ... #CriticalCare
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... #CriticalCare
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
change in P wave contour ... #diagnosis #ekg ... #ecg #electrocardiogram ... #variants #clinical ... #comparison
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Build clinical suspicion ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... Pts: cardiogenic shock ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... of shock MICRO ... NOTES: The last clinic ... will also get an EKG ... diagnosis #workup #criticalcare
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