34 results
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Supraventricular/Atrial ... Tamponade, pulmonary ... #Cardiogenic #Shock ... Differential #Diagnosis #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... hypertension Management ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... prognostication #diagnosis #management ... stratification #criticalcare
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial ... #Fibrillation #Cardiology ... #Management #Algorithm
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) • Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... Dehydration Shock ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Absent a wave - Atrial ... Flutter waves - Atrial ... myxoma, pulmonary ... Differential #Diagnosis #PhysicalExam ... #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... dysrhythmias (eg, atrial ... pressure (PEEP) for pulmonary ... #Shock #Management ... #CriticalCare
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... with caution in pulmonary ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm