19 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... Angiography & PCI ... DCSI #Initiative #Management ... #Cardiology
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
help stratify cardiac ... emergent cath lab ... angiography and possible PCI ... Stratfication #Management ... #Cardiology #CriticalCare
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... arrythmias Diagnostics: EKG ... Nuclear SPECT ($$$), PET ... #management #diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Physical exam • 12-lead ... ECG • Limited ... muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... #Palpitations #Cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... = best management ... This was her EKG ... Pt doing well. ... #clinical #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... trolley and 12-lead ... Obtain a 12-lead ... consultation with cardiology ... Checklist #Diagnosis #Management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Recurrent Polymorphic VT ... Torsades de Pointes - Management ... Algorithm Drugs ... 1b (lidocaine)- case ... #Algorithm
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
flare ups that cause ... Treatments may include: cardiac ... assist device (LVAD ... #Management #Cardiology ... Stages #ACCAHA #Algorithm
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... Endocarditis #diagnosis #management ... #cardiology
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... Algorithm 1. ... diet, exercise, cardiac ... #Management #Algorithm ... #cardiology