18 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... • Cardiogenic shock ... cardiac death Management ... #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... drained if causing acute ... treatment for acute ... #HeartFailure #Cardiology ... #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... INCLUSION CRITERIA Acute ... Ischemic Symptoms  EKG ... #Initiative #Management ... #Cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of Acute RV Failure ... of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... block, Aberrancy, VT ... Myocarditis #diagnosis #management ... #cardiology #summary
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
meanPAP-PCWP) / CO • PVR ... identified based on PVR ... RV dysfunction. e.g ... forward flow. e.g ... catheter #diagnosis #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm
D-Sign in Pulmonary Embolism on POCUS Echocardiogram - PSAX

Pt having shortness of breath? POCUS can shed
D-Sign in Pulmonary ... Embolism on POCUS Echocardiogram ... #DSign #POCUS #Echocardiogram ... PSAX #clinical #cardiology ... PulmonaryEmbolism #AcutePE
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
cardioversion • If known SVT ... nodal agents (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... Cardiology cannot ... primary disturbance Cardiology ... similar where Cardiology ... #cardiology #echocardiogram