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management cardiomyopathy differential indications myocarditis peripartum treatment aicd algorithm catheterization cathlab clinical criteria criticalcare defibrillator evaluation foamed heartfailure icu inpatient
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Endomyocardial biopsy ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Fulminant: - Acute HF ... , Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology ... #summary #biopsy
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Sustained ventricular ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... Contraindications: Pts with ventricular ... : EKG ($), ECHO ... Stress #Testing #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... essentially Cardiogenic Shock ... algorithm #management #cardiology ... #treatment #table ... #heartfailure #chf
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... supraventricular or ventricular ... tachycardia • Ventricular ... congenital or acquired ... #Palpitations #Cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
May have typical HF ... Pts: cardiogenic shock ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... disease b) CHF ... one post op Cardiology ... postoperative cardiac ... stratification #diagnosis
Indications for Implantable Cardioverter-Defibrillator (ICD) in Patients with Ischemic Heart Disease (IHD) to Prevent Sudden Cardiac
Prevent Sudden Cardiac ... following: • Sudden cardiac ... unstable VT • Stable ... #indications #cardiology ... #diagnosis #criteria
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Characterized by left ventricular ... ⚠️ Cardiogenic shock ... LVEF <45% • Left ventricular ... experience recovery of cardiac ... Cardiomyopathy #Cardiology
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