9 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Treat myocarditis ... , Cardiogenic shock ... Pericarditis, Tamponade ... EKG Findings: ... Low voltage Treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... Tamponade, Severe ... ) UOP > 0.5 cc/kg
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Toxins (CCB, BB, BRASH ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... , Medications (anesthesia
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... Cardiac cath if ... #heartfailure #chf ... #criticalcare #icu
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
ScyMed.com 6th ED ICU-card ... «ICU, Formulas ... ↑ Cardiogenic shock ... Tamponade ... LCWI 3.4-4.2 kg
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Pts: cardiogenic shock ... Postpartum Period • Breast-feeding ... Avoid ARBs • ICD ... #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... murmur 3/6) - Pulmonary ... disease b) CHF ... indicated • EKG ... Obtain EKG if:
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
symmetry, rate, breath ... tamponade → 3-9 ... o Aspiration, pulmonary ... Intraoperative #Checklist ... Management #Workup #anesthesia