18 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... #Cardiology
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
American College of Cardiology ... Task Force on Clinical ... #CHF #guideline ... #ACCAHA2017 #cardiology ... #treatment #algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... pulmonary disease or CHF ... pulmonary disease or CHF ... #Treatment #management ... #cardiology #algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... causing acute distress ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
SCAI Pyramid of Cardiogenic ... arrest with ongoing CPR ... patient who has clinical ... hypotension or tachycardia ... ABCDEs #diagnosis #cardiology
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Stable Wide-Complex Tachycardia ... If ventricular tachycardia ... nodal agents (e.g ... #Treatment #management ... #cardiology #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... #Shock #Algorithm ... DCSI #Initiative #Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Fulminant: - Acute HF ... , Cardiogenic shock ... Myocarditis #diagnosis #management ... #cardiology #summary
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) First Steps ... O2, Monitors, ECG ... AMS, SOB from CHF ... #differential #management ... #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
infarction • Stress ... factors + oxidative stress ... May have typical HF ... Minority of Pts: cardiogenic ... #cardiology #treatment