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differential treatment classification causes clinical foamed heartfailure myocarditis overview pharmacology summary table biopsy cardiomyopathy clinica comparison dcsi detroit drugs echocardiogram
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... Cold and Dry CARDIOGENIC ... 16% • MI, CHF ... Classification #diagnosis ... #differential #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High SVR: • Cardiogenic ... Decompensated CHF ... #criticalcare # ... algorithm #treatment ... #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Shock - Management ... Checklist Evaluation ... shock #Checklist ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION ... Angiography & PCI ... #Shock #Algorithm ... DCSI #Initiative #Management ... #Cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Management #Cardiology
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... Arrhythmias / CHB ... #inopressors #diagnosis ... #management #comparison
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... resuscitation • Cardiogenic ... Shock - MI ... #Diagnosis #Management ... #Summary #criticalcare
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Fulminant: - Acute HF ... , Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wound. drains) Cardiogenic ... O2 delivery • MI ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wound. drains) Cardiogenic ... O2 delivery • MI ... Classification #diagnosis ... #management #Overview ... #criticalcare #
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