12 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... Dysrhythmia, heart block ... #Management #Cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... (+/- daily EKG) ... of infection (e.g ... #criticalcare #diagnosis
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram ... #variants #clinical ... #comparison
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... for alternate diagnoses ... doppler, CTA • ECG ... of AECOPD: • Clinical ... #treatment #pulmonary
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Pericarditis, Tamponade EKG ... Findings: - AV block ... #Myocarditis #diagnosis ... #management #cardiology
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
Sinus #Arrhythmia #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram ... #variants #clinical ... #comparison
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... with presence of pulmonary ... ECG is vital while ... #algorithm #management ... #cardiology #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology