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diagnosis cardiology criticalcare differential treatment foamed heartfailure myocarditis acidosis biopsy bradycardia cad cardiogenic cardiomyopathy causes classification clinica dcsi detroit echocardiogram
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Failure, Toxins/Medications ... Decompensated CHF ... Pneumothorax, Cardiac ... #criticalcare #algorithm ... #treatment #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 ... Fulminant: - Acute HF ... , Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... #Algorithm #DCSI ... #Initiative #Management ... #Cardiology
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
performed) • Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... AMS, SOB from CHF ... sedative & pain medication ... #differential #management ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf ... #pharmacology
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Consider cardiac ... endomyocardial biopsy Pharmacology ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... / hypoxemia -> focus ... perfusion - Cardiac ... failure - Low cardiac ... - HIV/HAART medications
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... May have typical HF ... Pts: cardiogenic shock ... and timing with Cardio-OB ... follow-up with Cardio-OB
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... medical and surgical management
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