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cardiology differential ecg electrocardiogram management peripartum angiogram cathlab causes classification elevation em equivalents fluoroscopy focal inferior inferolateral injury interpretation ischemia
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... #Cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Myocardial Injury Classification Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD Acute nonischemic myocardial injury: - Primary
cardiac illness: Myocarditis ... non-cardiac illness: Critical ... Classification #diagnosis ... #cardiology #troponemia ... #NSTEMI
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
ECGs - Ischemia MI ... dissection, PE, peri/myocarditis ... early inferior MI ... #EKG #diagnosis ... electrocardiogram #cardiology
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 55 year old, severe chest pain after death of close
Focal Takotsubo Cardiomyopathy ... close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
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 Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
ST elevation in lateral ... leads, also diagnostic ... of STEMI. ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... multiple pregnancy, maternal ... ancestry, LGE on MRI ... Clinical • Under-recognized ... #cardiology #treatment
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... Pericarditis/Myocarditis ... depression Takotsubo Cardiomyopathy ... #cardiology #ecg
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
(Can occur later ... Cesarean delivery Clinical ... Key Point: High clinical ... rheumatic disease • Myocarditis ... #Cardiology #OBGyn
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