12 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... changes on tele/ECG ... tests in cath lab Treatment ... #cardiology #diagnosis ... #management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #management #cardiology ... #algorithm
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Algorithm ECG ... injury, etc) ECG ... Remove potassium ... offending agent (ACE-I ... #Algorithm #Management
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
Algorithm 1. ... current guidelines (eg ... Angina: consider ... ranolazine if angina ... #Algorithm #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF ... #HeartFailure #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Low voltage Treatment ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
short course of treatment ... probably much higher (e.g ... provide empiric treatment ... on the basis of CSF ... is proposed: #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... Na delivery): CHF ... heparinized tube) • ECG ... Ca-gluconate or 1g CaCl ... #Treatment #potassium
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... algorithm to determine ... indicated • EKG ... Obtain EKG if: ... Unstable Angina