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cardiology diagnosis treatment differential criticalcare stable bradycardia cardiogenic cardiomyopathy checklist clinical foamed icu narrowcomplex pediatric peds peripartum pharmacology summary supraventricular
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Endomyocardial biopsy ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Fulminant: - Acute HF ... , Cardiogenic shock ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #biopsy
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Management Algorithm ... : HR > 180bpm ECG ... Signs of shock or ... supraventricular #tachycardia ... #Management #Algorithm
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Decompensated CHF ... Valve Disease, Myocarditis ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm ... #treatment #management
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... pulmonary disease or CHF ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... AMS, SOB from CHF ... Chest Pain • ECG ... Connect ECG Leads
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
If ventricular tachycardia ... cardioversion • If known SVT ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure # ... Cardiology #Management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... Pts: cardiogenic shock ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... #differential #algorithm ... #management #cardiology ... table #foamed #heartfailure ... #chf #criticalcare
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