12 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Evaluation - EKG ... Liver function tests ... shock #Checklist ... #HeartFailure #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... Elevated troponin • Cardiogenic ... Diagnosis #Management #Cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
on POCUS 78 year ... of chest pain ECG ... Ultrasound #Clinical #Echocardiogram ... #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
thrombi”. 55 year ... wall STEMI, in Cardiogenic ... shock, ECG predicted ... CathLab #clinical #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... Recurrent/persistent rest ... low (1-2) risk, +ECG ... catheterization #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... Inform theatre team ... consultation with cardiology ... Intraoperative #Checklist
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Minority of Pts: cardiogenic ... with Cardio-OB team ... multi-disciplinary team ... with Cardio-OB team ... diagnosis #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... indicated • EKG ... Obtain EKG if: ... echo in the last year ... one post op Cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS Echocardiogram ... EKG unremarkable ... This was her EKG ... Hypokinesis #POCUS #Echocardiogram ... #clinical #cardiology
Takotsubo Cardiomyopathy on POCUS Echocardiogram

50's male CAP on Day 4 Zpak but worsening-fever, congestion, cough. BP
Cardiomyopathy on POCUS Echocardiogram ... ECG Trop I 1.13. ... exercise echo stress test ... Cardiomyopathy #POCUS #Echocardiogram ... #ultrasound #Cardiology