28 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... Patient was in shock ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... #Differential # ... #Table #CriticalCare
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... : Pseudo-acute coronary ... cause, vasospasm → Coronary ... #Myocarditis #differential ... #cardiology #MRI
A primer on the causes, evaluation and management of Acute Myocardial Infarction in Young Patients. 
Obstructive:
evaluation and management ... non-obstructive coronary ... #Young #cardiology ... #MINOCA #differential ... #diagnosis
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... TTE, TEE, CT or MRI ... #Artery #Embolism ... #diagnosis #differential ... scoring #criteria #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... • Cardiogenic shock ... #Management #Cardiology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... Diagnosis #table ... #comparison #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... muscle relaxation & coronary ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... #diagnosis #algorithm ... #management #clinical ... #criticalcare #