17 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... pain, pericarditis ... • Cardiogenic shock ... , sudden cardiac ... #Cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... diastolic collapse of RV ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology
Constrictive Pericarditis on Cardiac MRI

MRI shows ventricular interdependence and re-demonstrates the thickened pericardium. 

Dr. Omid Kiamanesh
Constrictive Pericarditis ... on Cardiac MRI ... the thickened pericardium ... #Constrictive #Pericarditis ... #radiology #chest
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... > Constrictive pericarditis ... , Pericardial Tamponade ... Cardiac surgery? ... #Diagnosis #Management
Cardiac MRI in Evaluation of Pericardial Disease

Tl-weighted fast spin echo - Morphological assessment of the pericardium
Cardiac MRI in Evaluation ... quantification of cardiac ... effects such as RV ... #Pericarditis # ... Cardiology #Diagnosis
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive Pericarditis ... blue marks on her chest ... Causes = RV failure ... extra sound is a pericardial ... #Cardiology
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Pulmonary vascular → RV ... pneumothorax, cardiac ... , constrictive pericarditis ... Types #diagnosis #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic shock ... , Arrythmias, Pericarditis ... Myocarditis #diagnosis #management ... #cardiology #summary
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... flow in all major epicardial ... DCSI #Initiative #Management ... #Cardiology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Puimonary vascular → RV ... pneumothorax, cardiac ... , constrictive pericarditis ... types #diagnosis #management