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management differential treatment criticalcare shock acs biopsy cardiac cardiomyopathy catheterization cathlab clinical coronary dcsi detroit evaluation foamed heartfailure icu indications
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Unstable/cardiogenic ... despite intensive medical ... low (1-2) risk, +ECG ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction ï‚· Ischemic Symptoms ï‚· EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms ï‚· EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... Initiative #Management #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... #Differential #Algorithm ... #cardiology #occlusionMI ... myocardial #infarction #diagnosis
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... High SVR: • Cardiogenic ... Decompensated CHF ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Fulminant: - Acute HF ... , Cardiogenic shock ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... May have typical HF ... Minority of Pts: cardiogenic ... deteriorating on medical ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... is essentially Cardiogenic ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
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