64 results
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
and Secondary Causes ... fever, Infective endocarditis ... fever, Infective endocarditis ... leak, Infective endocarditis ... diagnosis #cardiology #causes
Checklist for SBT with Suspected Cardiovascular Causes of Failure in Mechanical Ventilation Weaning

#Mechanical #Ventilation #Weaning #SBT
Checklist for SBT ... Cardiovascular Causes ... of Failure in Mechanical ... #Management #Cardiovascular ... #Failure #Diagnosis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... consultation • Valve regurgitation ... causing heart failure ... #checklist #criticalcare ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
aortic and mitral regurgitation ... New-onset Heart Failure ... Septic Emboli Cause ... Treat underlying cause ... #diagnosis #management
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Physiologic Causes ... Pathologic Causes ... High output heart failure ... Trauma • Heart Failure ... • Infective Endocarditis
Recommended Follow-up of Treated Syphilis Cases

EVIDENCE OF TREATMENT FAILURE OR POSSIBLE REINFECTION
• Persistence or recurrence of
Treated Syphilis Cases ... FAILURE OR POSSIBLE ... results) POSSIBLY: Failure ... initial titer 1:32, failure ... #Treatment #Management
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Mitral stenosis or regurgitation ... , Tricuspid endocarditis ... ), Heart failure ... Diagnosis #pulmonary #causes
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Spironolactone for Heart Failure ... ejection fraction, treatment ... cardiovascular causes ... hospitalization for the management ... of heart failure
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
Deficiency in Heart Failure ... Chronic heart failure ... → Inflammation causes ... functional ID) Treatment ... heartfailure #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... Revascularization, treatment ... cardiogenic shock #Checklist ... HeartFailure #Cardiology #Management