21 results
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... failure <3 rnonths, Cardiogenic ... Paraclinical assessment: EKG ... Diagnosis #Causes #cardiology ... #MRI
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... Diagnosis #Management #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis ... - Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... diagnosis #management #cardiology
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
Wave Inversions - Differential ... infarction Takotsubo (stress ... wave inversion syndrome ... Diagnosis #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Causes of Myocarditis
Infectious Etiologies:
 • Viral agents: Adenoviruses, Enteroviruses (coxsackievirus), Herpesviruses (human herpesvirus 6, Epstein—Barr virus),
Immunological Syndromes ... : Churg-Strauss ... syndrome, Diabetes ... #differential # ... diagnosis #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Liver function tests ... causing acute distress ... Revascularization, treatment ... for acute MI if ... #HeartFailure #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... , myocarditis, etc ... CCB, BB, BRASH syndrome ... Shock #diagnosis #differential
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... Recurrent/persistent rest ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... Minority of Pts: cardiogenic ... diagnosis #management #cardiology ... #treatment
Haglund Syndrome - MSK Radiology
Imaging Findings:
 • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
- MSK Radiology ... Differential diagnosis ... • Stress fracture ... Heel #clinical #mri ... #clinical #Radiology