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cardiology differential management clinical electrocardiogram syncope testing adenosine aorta balloon cardiaccta cardiacstresstest cardiomyopathy cardiothoracic causes ccta coronarystenosis cost criticalcare dissection
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... syndrome, Cardiac ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... , PE, peri/myocarditis ... #Ischemia #ECG ... #EKG #diagnosis
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... muscle relaxation & coronary ... : EKG ($), ECHO ... SPECT ($$$), PET CT ... /MRI ($$$$) CORE
Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... IABP improves coronary ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Orthostatic BP • ECG ... • Ambulatory ECG ... • Head CT • Carotid ... US • Brain MRI ... • EEG • Cardiac
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... ancestry, LGE on MRI ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... Pericarditis/Myocarditis ... Post-cardioversion • Acute aortic ... #cardiology #ecg ... #ekg #electrocardiogram
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Pericarditis or myocarditis ... Valvular disease (e.g ... ., aortic insufficiency ... regurgitation • Severe aortic
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... risk (>5%): - Aortic ... • Preoperative coronary ... stratification #diagnosis
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