11 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... prevent myocardial ischemia ... #Cardiology #HFpEF ... dCHF #Diastolic #Treatment ... #HeartFailure #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... antiarrhythmics - Ischemic ... Revascularization, treatment ... #Cardiogenic #HeartFailure ... #Cardiology #Management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... Jcortesizaguirr #HFrEF #heartfailure ... #diagnosis #management ... #cardiology #pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... #algorithm #management ... #cardiology #treatment ... table #foamed #heartfailure ... icu #clinical #pharmacology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
hypoxia and organ ischemia ... large total body stores ... Check for IF ab Treatment ... consider other diagnosis ... #management #nutrition
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Early embolic/ischemic ... Differential Diagnosis ... Endocarditis Diagnosis ... #management #cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... cannot, coronary ischemia ... #diagnosis #algorithm ... #management #clinical ... criticalcare #foamed #treatment
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Histoplasmosis Diagnosis ... Histoplasmosis Treatment ... , with ensuing ischemia ... Inhalation of spores ... #Management #Infections
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 ... risk Chest X-ray ... medical and surgical management ... stratification #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... nodes • Roth’s spots ... Early embolic/ischemic ... hematuria, + RF Treatment ... #cardiology #infectiousdiseases