12 results
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... Supraventricular/Atrial ... Ventricular Fibrillation ... Tamponade, pulmonary ... Differential #Diagnosis #Cardiology
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... Cardiology #Management ... #Algorithm
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... (PIRATES): - Pulmonary ... embolism - Ischemia ... #Fibrillation # ... PIRATES #Emergency #Cardiology
PIRATES Mnemonic for the Causes of Atrial Fibrillation

P - Pulmonary Disease, PE
I - Ischemic, Idiopathic
R -
Fibrillation ... P - Pulmonary Disease ... , PE I - Ischemic ... #Fibrillation # ... Differential #Diagnosis #Cardiology
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... Differential Diagnosis Algorithm ... fibrillation ... infarction • Pulmonary ... • Shock #Ischemic
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
sinus rhythm in atrial ... fibrilation may ... prevent myocardial ischemia ... hypertension, pulmonary ... #Management #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... fibrillation or ... with caution in pulmonary ... Treatment #management #cardiology ... #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Obtain femoral arterial ... #Shock #Algorithm ... Initiative #Management #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... Fibrillation - ... diagnosis #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... history of: a) Ischemic ... event, follow ACC algorithm ... days before Pulmonary ... one post op Cardiology