12 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Management #Cardiology
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
High Output Heart ... - Congenital (e.g ... HHT), Acquired (e.g ... #HeartFailure #CHF ... #cardiology #causes
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... treatment for acute MI ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Cardiogenic: Acute MI ... , Acute Heart Failure ... Arrhythmias / CHB ... #inopressors #diagnosis ... #management #comparison
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
Malabsorption (e.g ... warfarin, DOACs (e.g ... Autoimmune disorders (e.g ... Acute DIC - Septic shock ... #diagnosis #hematology
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
oligodendrocyte protein, CSF ... cerebrospinal fluid, MRI ... resonance imaging, EEG ... #encephalitis #comparison ... table #neurology #diagnosis
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
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis