15 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... ; AS, aortic stenosis ... Maneuvers #Heart #Cardiology ... #PhysicalExam #Diagnosis
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... pressure >10mmHg: • Cardiac ... regurgitation ... #Algorithm #causes
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... tissue disorder e.g ... disease • Cardiac ... #Dissection #diagnosis ... #management #vascular
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS Evaluation ... (+LR 2.6) - Cardiac ... - History - EKG ... #diagnosis #Algorithm ... #cardiology #Angina
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
checklist Initial evaluation ... TEE) • Chest CT ... consultation • Valve regurgitation ... block (+/- daily EKG ... #criticalcare #diagnosis
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-Aortic Balloon ... sync with the cardiac ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... : EKG ($), ECHO ... SPECT ($$$), PET CT ... Stress #Testing #cardiology ... #management #diagnosis
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
LMCA lesion -> Cardiac ... syndrome (ACS) evaluation ... Angina #ChestPain #Diagnosis ... #Management #Algorithm ... #Cardiology #EBM
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... and mitral regurgitation ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... Obtain EKG if: ... medical and surgical management ... stratification #diagnosis