8 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Liver function tests ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... Obtain femoral arterial ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF ... serum creatinine, test ... AFib #diagnosis #management ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... is essentially Cardiogenic ... differential #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
May have typical HF ... Minority of Pts: cardiogenic ... Management during ... Serial TTE and close ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... determine if stress test ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
LV Thrombus on Echocardiogram ... PMHx recent CHF, ... then the next tests ... are not POCUS: serial ... A4C #clinical #cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
LV Thrombus on Echocardiogram ... PMHx recent CHF, ... then the next tests ... are not POCUS: serial ... PSAX #clinical #cardiology