14 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... evaluation or management ... Stable #Angina #ChestPain ... #Diagnosis #Management ... #Algorithm #Cardiology
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... Anticoagulation ... #Fibrillation #Cardiology ... #Management #Algorithm
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Differential Diagnosis Algorithm ... Aortic Stenosis - Ischemic ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology ... Differential #Diagnosis #Algorithm
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Algorithm STEMI ... deficit, Limb ischemia ... Pulmonary Embolism ... asthma, CF, PCP #ChestPain
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... β-blocker or CCB Anticoagulation ... AFib #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... Change in clinical ... Anticoagulation ... one post op Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... suggest prophylactic anticoagulation ... support for patients clinically ... teratogenic GDMT meds ... #cardiology #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... cause + Systemic anticoagulation ... Endocarditis #diagnosis #management ... #cardiology
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
approach to empiric anticoagulation ... Internet Book of Critical ... #COVID19 #management ... #schema #criticalcare ... #algorithm #SARSCOV2
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... cannot, coronary ischemia ... Cardiology cannot ... #diagnosis #algorithm ... #management #clinical