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diagnosis differential shock treatment afib algorithm anesthesia anesthesiology cardiac checklist dcsi detroit endocarditis evaluation fibrillation initiative intraoperative ischaemia nephrology nonlschemic
Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
Non-lschemic Causes ... of Cardiogenic ... Supraventricular/Atrial ... #Cardiogenic #Shock ... Differential #Diagnosis #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Obtain femoral arterial ... flow in all major epicardial ... DCSI #Initiative #Management ... #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... signs of cardiac ischaemia ... factors for cardiac ischaemia ... possible. ❺ If ischaemia ... #Cardiac #Ischemia
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 ... ventricular hypertrophy, pericardial ... AFib #diagnosis #management ... #cardiology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... Summary Causes ... Features: • Triad ... Tachycardia - N/V - Abdominal ... perfusion → renal ischemia
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... EGPA (↓ LVEF, pericardial ... Goodpasture's cause ... blood retum in serial ... differential #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Septic Emboli Cause ... Early embolic/ischemic ... Endocarditis #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 ... one post op Cardiology ... undergoing AAA or upper abdominal ... CARP, DECREASE V trials ... medical and surgical management
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