26 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... #Cardiology
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 ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Treatment Goals ... ) UOP > 0.5 cc/kg ... #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Cardiac surgery? ... #Diagnosis #Management ... #criticalcare #treatment
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... Stress #Testing #cardiology ... #management #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... Chest Pain • ECG ... Connect ECG Leads ... #management #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... disease • Cardiac ... deficit • Shock ... Treatment - ED ... blood pressure: e.g
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... further guide management ... and an initial ECG ... The treatment strategy