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differential management causes cardiomyopathy classification criticalcare electrocardiogram interpretation overview peripartum approach artery calculations cardiogenic catheter catheterization checklist chf equations equivalents
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... Paraclinical assessment: EKG ... Beaudequin #Myocarditis ... #Causes #cardiology ... #MRI
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... treatment for acute MI ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... early inferior MI ... #Ischemia #ECG ... #EKG #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
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... O2 delivery • MI ... , Heart Failure, ... Severe Valve Dz, Myocarditis ... Classification #diagnosis
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... O2 delivery • MI ... , Heart Failure, ... Severe Valve Dz, Myocarditis ... Classification #diagnosis
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
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Pericarditis or myocarditis ... Valvular disease (e.g ... Hyperthyroidism • Anemia ... #Palpitations #Cardiology
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