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cardiology diagnosis cardiomyopathy causes management pulmonary algorithm artery calculations catheter cathlab complications ecg edema electrocardiogram equations equivalents heart indications inpatient
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
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... Diagnosis #Causes #cardiology ... #MRI
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
ECGs - Ischemia MI ... early inferior MI ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
Descents, Rales,+S4, MR ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Diagnosis #Causes #differential ... #cardiology #algorithm
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... ($$$$) CORE IM ... Stress #Testing #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... Pulmonary-Artery Catheterization
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Right Heart Catheterization ... mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... catheter #diagnosis #cardiology
Post Cardiac Catheterization Complications Access site complications • Hematoma - Pain, swelling, bruising • Retroperitoneal bleed -
Post Cardiac Catheterization ... presyncope • MI ... nephropathy - Rise in Cr ... #Catheterization ... #differential #
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... and timing with Cardio-OB ... follow-up with Cardio-OB ... diagnosis #management #cardiology
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