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differential algorithm cardiogenic cardiomyopathy clinical criticalcare myocarditis peripartum treatment balloon biopsy bradycardia chf dcsi detroit dissection echocardiogram emergency endocarditis evaluation
Cardiogenic Shock - Diagnosis and Management Summary Identifying Hypoperfusion from Cardiac Dysfunction • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... Studies • POCUS ... #Diagnosis #Management ... #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
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... deficit • Shock ... wall stress by ... #Dissection #diagnosis ... #management #vascular
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... : EKG ($), ECHO ... #Stress #Testing ... #cardiology #management ... #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
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) First Steps ... brady, Signs of Shock ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
infarction • Stress ... factors + oxidative stress ... 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
exam Determine Cardiac ... risk (>5%): - Aortic ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
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