12 results
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... guideline-directed medical ... circulatory support; and MI ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Guideline-Directed Medical Therapy (GDMT) in HFrEF and CKD

 • Class I pillars of HFrEF GDMT across
Guideline-Directed Medical ... Loop diuretics, MRA ... Guideline #Directed #Medical ... #management #pharmacology ... #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... • Migraine Cardiac ... Contractility: • MI ... Stenosis • HCM ... Syndrome #Syncope #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
despite intensive medical ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, Serial ... elevated LVEDP ==> MRI ... (+) septal HCM ... echocardiogram #plax #cardiology ... #pocus
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... and timing with Cardio-OB ... deteriorating on medical ... follow-up with Cardio-OB ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Cardiac cath if ... #differential #algorithm ... #management #cardiology ... #treatment #table ... icu #clinical #pharmacology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Medical history ... event, follow ACC algorithm ... one post op Cardiology ... postoperative cardiac
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
ECG has been stable ... Cardiac MR shows ... hypertrophic #clinical #cardiology ... #pocus
Gerbode Defect (LV → RA Shunt) on Echocardiogram

After MVR, on second post op day surgeon heard
out paravalvular MR ... Patient stable hemodynamically ... Loud PSM is heard ... Echocardiogram #POCUS ... #clinical #cardiology