12 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Cardiogenic shock ... , sudden cardiac ... #Diagnosis #Management ... #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 ... Fulminant: - Acute HF ... , Cardiogenic shock ... #diagnosis #management ... #cardiology #summary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... Valve Disease, Myocarditis ... Pneumothorax, Cardiac ... #criticalcare #algorithm ... #treatment #management
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... deficit • Shock ... opiates • Control heart ... #Dissection #diagnosis ... #management #vascular
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... blocking agent • Shock ... infarction • Myocarditis ... Tachy-Brady syndrome • Aortic ... Valve surgery • Heart
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... May have typical HF ... Pts: cardiogenic shock ... and timing with Cardio-OB ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... risk (>5%): - Aortic ... medical and surgical management ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... essentially Cardiogenic Shock ... Cardiac cath if ... #algorithm #management ... #heartfailure #chf
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
The heart consumes ... of the resting cardiac ... (Sepsis, Shock, ... #diagnosis #management ... l#foamed #algorithm