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diagnosis differential ecg treatment cardiomyopathy criticalcare ischemia peripartum shock stemi summary workup algorithm anesthesia anesthesiology autoimmune avr biopsy cardiac cardiotoxicity
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Cardiogenic shock, Arrythmias ... , Pericarditis, ... Tamponade EKG Findings ... #diagnosis #management ... #cardiology #summary
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... Cardiogenic ventricular arrythmia ... Paraclinical assessment: EKG ... hypokinesia, associated pericarditis ... Diagnosis #Causes #cardiology
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on ... EKG Stage 1 - Widespread ... Normalization Spodick's sign ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
• Chest pain, pericarditis ... gallop • Abnormal ECG ... cardiac death Management ... #Diagnosis #Management ... #Cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Valve Disease, Myocarditis ... , Arrhythmia • ... , Constrictive pericarditis ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Pericarditis: PR ... includes ACS vs pericarditis ... • Predictor of arrhythmia ... #electrocardiogram ... #differential #cardiology
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... Terminate arrhythmia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
dissection, PE, peri/myocarditis ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... tachycardia • Pericarditis ... or myocarditis ... Valvular disease (e.g ... #Palpitations #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... depression Pericarditis ... /Myocarditis: ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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