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management criticalcare differential causes table treatment chf classification heartfailure myocarditis overview pharmacology algorithm approach artery calculations cardiomyopathy catheter catheterization checklist
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Cardiovascular MRI ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Management #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
& Cardiogenic Shock ... Evaluation - EKG ... treatment for acute MI ... Nephrotoxins (e.g ... #CHF #Shock #Cardiogenic
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... failure <3 rnonths, Cardiogenic ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... Heart Failure, ... #inopressors #diagnosis ... #management #comparison
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
mortality in inferior MI ... RV dysfunction. e.g ... forward flow. e.g ... artery #catheter #diagnosis ... #cardiology #swanganz
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... pressure, pallor Cardiogenic ... failure): • Severe heart ... failure, acute MI ... #table #comparison
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... resuscitation • Cardiogenic ... Shock - MI ... #Diagnosis #Management
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
- RAD: AntLat MI ... Mg, congenital, MI ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... ancestry, LGE on MRI ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... wound. drains) Cardiogenic ... O2 delivery • MI ... , Heart Failure, ... Classification #diagnosis
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