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cardiology diagnosis cardiotoxicity checkpoint differential evaluation ici inhibitor oncology palpitations perioperative preop preoperative risk stratification summary treatment
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #diagnosis #management ... #biopsy
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Endomyocardial biopsy ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
irregular rhythms: Paroxysmal ... supraventricular or ventricular ... tachycardia • Ventricular ... Pericarditis or myocarditis ... palpitations: PVC
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Key Components: ... physical exam - Key ... indicated • EKG ... Obtain EKG if: ... medical and surgical management
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity Problem - Immune checkpoint inhibitors (ICIs) are associated with
ICIs range from myocarditis ... recommendations lack key ... troponin, left ventricular ... of severe ICI myocarditis ... prednisone 1-2 mg/kg
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