15 results
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... muscle relaxation & coronary ... : EKG ($), ECHO ... #cardiology #management ... #diagnosis
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Stable Angina Stress ... severe ischemia -> Coronary ... LMCA lesion -> Cardiac ... Angina #ChestPain #Diagnosis ... #Cardiology #EBM
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Diagnosis? ... Management? ... #ultrasound #Cardiology ... #PLAX #clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
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
Cardiac Sarcoidosis on Echocardiogram

Spot diagnosis for the fellows. Thinned, dyskinetic basal septum in patient who presents
Cardiac Sarcoidosis ... on Echocardiogram ... Spot diagnosis ... pocus #clinical #ultrasound ... #plax #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Admit ==> Positive stress ... Metoprolol - VCU Ultrasound ... HCM #clinical #echocardiogram ... #plax #cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... of the resting cardiac ... #diagnosis #algorithm ... #cardiology #echocardiogram ... #management #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... one post op Cardiology ... • Preoperative coronary ... medical and surgical management ... stratification #diagnosis