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treatment workup algorithm anesthesia anesthesiology cardiomyopathy checklist criticalcare differential intraoperative pacatheter peripartum pressures table artery calculations cardiogenic catheter catheterization chambers
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
• Hypoxia • Pulmonary ... hypertension ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... However, when the diagnosis ... or the type of shock ... (eg, acute valvular ... artery hypertension
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Summary • Hypotension ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ...  Hypotension ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
CARDIAC POWER OUTPUT ... trial registry ... much as 40% in cardiac ... artery #catheter #diagnosis ... #cardiology #swanganz
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
abnormalities (hypo- or hypertension ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
heart disease • Hypertensive ... cardiomyopathy • Pulmonary ... Pts: cardiogenic shock ... and timing with Cardio-OB ... #management #cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis (hypotension ... cause) or septic shock ... Consider monitoring cardiac ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... : • New cardiac ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... Cardiac cath if ... #algorithm #management ... #cardiology #treatment
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