15 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Cardiogenic shock ... , sudden cardiac ... #Diagnosis #Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Pneumothorax, Cardiac ... #criticalcare # ... algorithm #treatment ... #management
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... level <100 pg/ml EKG ... ventricular function Pulmonary-Artery ... Transfusion-related acute lung ... #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... ARTERY PULSATILITY ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... #diagnosis #cardiology
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... improves coronary artery ... • Triggers (EKG ... #management #cardiology ... #criticalcare
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... fragment • Other: Myocarditis ... Pts: cardiogenic shock ... and timing with Cardio-OB ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... • PULMONARY A ... Tolerance #testing #diagnosis ... #criticalcare # ... comparison #challenges #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... #management #cardiology