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management artery calculations cardiomyopathy catheter catheterization criticalcare differential drugs equations evaluation inopressors myocarditis pacatheter perioperative peripartum pharmacology preop preoperative pressures
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Management #Cardiology
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Cardiogenic: Acute MI ... , Acute Heart Failure ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure): • Severe heart ... failure, acute MI ... #table #comparison
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
Right Heart Catheterization ... mortality in inferior MI ... Ahmed Ghoneem, MD MSc ... artery #catheter #diagnosis ... #cardiology #swanganz
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
) • Valvular heart ... ancestry, LGE on MRI ... Pts: cardiogenic shock ... during Delivery • Stable ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
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