9 results
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... ($$$$) CORE IM ... Stress #Testing #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
New/worsening MR ... low (1-2) risk, +ECG ... #Indications #Cardiac ... #catheterization ... #cardiology
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... However, when the diagnosis ... cardiogenic shock (eg ... #Diagnosis #PACatheter ... #Differential #Table
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
A catheter is placed ... sync with the cardiac ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... forward flow. e.g ... much as 40% in cardiac ... #diagnosis #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... ancestry, LGE on MRI ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... dental procedure • Cardiac ... : • New cardiac ... ↑ ESR, CRP • EKG ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... substance use • IV catheter ... : • New cardiac ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases