31 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Telemetry, Cardiac ... , Carotid U/S, EEG ... , Brain MRI, Cardiac ... Syncope #diagnosis #workup
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... New/worsening MR ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... and Management ... Echinocandins (e.g ... involvement • Cardiac ... #candidiasis #treatment
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Cost-Effectiveness Workup ... Carotid US • Brain ... MRIEEGCardiac ... stress testing • Cardiac ... Syncope #diagnosis #workup
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management ... #Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... Shock - MI ... #criticalcare #treatment ... #workup
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... Myocarditis #diagnosis #management ... #cardiology #summary
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... amphetamines) Toxic: • Radiologic ... • Traumatic brain ... Checklist #Diagnosis #Management ... #Workup