8 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg ... #CHF #Shock #Cardiogenic
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... #Shock #Algorithm ... Initiative #Management #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... Diagnosis #Management #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... shock 2. ... Sustained ventricular ... low (1-2) risk, +ECG ... catheterization #cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... on POCUS Echocardiogram ... AED no shock advised ... getting 12 lead ECG ... #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... on POCUS Echocardiogram ... AED no shock advised ... getting 12 lead ECG ... #ultrasound #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... ECG is vital while ... is essentially Cardiogenic ... Shock. ... #differential #algorithm
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
of pregnancy (e.g ... shock ⚠️ Arrhythmias ... Genetic variants (e.g ... deficiencies (e.g ... Consider biomarkers (e.g