19 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis ... Fulminant: - Acute HF ... , Cardiogenic shock ... #diagnosis #management ... #cardiology #summary
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Cardiogenic shock ... eosinophilic) #Myocarditis ... #Diagnosis #Management ... #Cardiology
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... #Cardiogenic #Shock ... Classification #CHF ... #Diagnosis #Table ... #Cardiology
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... SHOCK • MAP ... Decompensated CHF ... Valve Disease, Myocarditis ... #Differential #Diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Diagnosis Framework ... blocking agent • Shock ... infarction • Myocarditis ... #differential #diagnosis ... #causes #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Decompensated CHF ... Valve Disease, Myocarditis ... #Differential #Diagnosis
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Blockers, Digoxin Myocarditis ... #Cardiogenic #Shock ... #Differential #Diagnosis ... #Cardiology
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... Myocardium: - Myocarditis ... • Alveoli: - CHF ... #Differential #Diagnosis ... #Causes #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... : Rate/Rhythm (bradycardia ... LV Failure (MI, myocarditis ... #diagnosis #differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... brady, Signs of Shock ... AMS, SOB from CHF ... #diagnosis #differential ... #management #cardiology