19 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... Elevated troponin • Cardiogenic ... cardiac death Management ... #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... #Shock #Algorithm ... DCSI #Initiative #Management ... #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
is mesmerizing: Malignant ... alternans on the ECG ... @eabramsMD #Malignant ... Clinical #POCUS #Echocardiogram ... ElectricalAlternans #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Pericardial Effusion on Echocardiogram ... demonstrating ECG ... Pericardial #Effusion #Echocardiogram ... #malignant #clinical ... #cardiology #pocus
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Pericardial Effusion on Echocardiogram ... demonstrating ECG ... Pericardial #Effusion #Echocardiogram ... #malignant #clinical ... #cardiology #pocus
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
arrythmias Diagnostics: EKG ... SPECT ($$$), PET CT ... Stress #Testing #cardiology ... #management #diagnosis
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Pericardial Effusion on Echocardiogram ... demonstrating ECG ... Pericardial #Effusion #Echocardiogram ... #malignant #clinical ... #cardiology #pocus
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm