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cardiology algorithm anesthesia anesthesiology cardiogenic cardiomyopathy checklist dcsi detroit evaluation initiative intraoperative ischaemia ischemia myocarditis perioperative peripartum preop preoperative risk
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Management #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Angiography & PCI ... DCSI #Initiative #Management ... #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
symptoms may include chest ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... change CV risk Chest ... postoperative cardiac ... medical and surgical management ... stratification #diagnosis
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