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cardiac clinical diagnosis echocardiogram thrombus a4c afib algorithm dcsi detroit evaluation fibrillation initiative perioperative preop preoperative psax risk shock stratification
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
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
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... dysfunction or LV ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management
Cardiac LV Thrombus on Echocardiogram (A4C) 48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... ICU for acute ischemic ... What are the next POCUS ... : serial blood cultures ... A4C #clinical #cardiology
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 Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX) 48 year old woman in ICU for acute ischemic
Cardiac LV Thrombus ... ICU for acute ischemic ... What are the next POCUS ... : serial blood cultures ... PSAX #clinical #cardiology
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