15 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... function tests if shock ... #CHF #Shock #Cardiogenic ... #HeartFailure # ... Cardiology #Management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
, HOCM, etc ... - Primacor - Cardiogenic ... Vasopressors #Inotropes #management ... #criticalcare #summary ... #comparison #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... rupture, VSD, etc ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
- OnePager Summary ... 4 categories: cardiogenic ... Problem (↓ CO): • CARDIOGENIC ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
wall STEMI, in Cardiogenic ... shock, ECG predicted ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... resuscitation • Cardiogenic
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... - Acute HF, Cardiogenic ... shock, Arrythmias ... Myocarditis #diagnosis #management ... #cardiology #summary
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... CARDIOGENIC SHOCK ... pressure (PEEP) for pulmonary ... #Shock #Management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... Shock. ... #table #foamed ... #heartfailure #chf