21 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Heart Failure & Cardiogenic ... Evaluation - EKG ... NSAlDs, ACE-inhibitors ... #HeartFailure # ... Cardiology #Management
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... ., cardiogenic shock ... is not desired (e.g ... Can be used in all ... comparison #table #pharmacology
Sinus Tachycardia - Differential Diagnosis Framework
Autonomic System:
 • Excess Stimulation: Nicotine, Caffeine, Sympathomimetics, Anticholinergics
 • Withdrawal:
Tachycardia - Differential ... Tamponade, PE • Cardiogenic ... : ACS, CHF • Hypoxia ... #Tachycardia #Differential ... #Diagnosis #cardiology
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
Pathophysiology and Differential ... - Congenital (e.g ... #High #Output #HeartFailure ... Pathophysiology #Differential ... #Diagnosis #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
failure <3 rnonths, Cardiogenic ... Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... Diagnosis #Causes #cardiology
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
Angiotensin-converting enzyme (ACE ... • Increased EC ... • Exogenous (KCL ... #hyperkalemia #differential ... pathophysiology #pharmacology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... Ischemic Symptoms  EKG ... STEMI or NSTEMI) Cardiogenic ... TIMI III flow in all ... Initiative #Management #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... wall STEMI, in Cardiogenic ... shock, ECG predicted ... CathLab #clinical #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ST elevation: Differential ... #AVR #leadAVR #ecg ... #differential # ... cardiology