9 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... death 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 ... - Acute HF, Cardiogenic ... shock, Arrythmias, Pericarditis ... Myocarditis #diagnosis #management ... #cardiology #summary
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... flow in all major epicardial ... DCSI #Initiative #Management ... #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... > Constrictive pericarditis ... , Pericardial Tamponade ... resuscitation • Cardiogenic ... Cardiac surgery?
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
PCWP PULMONARY ARTERY ... CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... much as 40% in cardiac ... catheter #diagnosis #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
of obstructive epicardial ... coronary artery ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Serositis: • Pleural/pericardial ... 5% of patients Cardiac ... • Asymptomatic pericarditis ... /LAC: • Renal artery ... Cytopenias • Cardiac
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... ventricular hypertrophy, pericardial ... Anticoagulation ≥4 weeks after ... AFib #diagnosis #management ... #cardiology
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
escalate to: ⚠️ Cardiogenic ... Spontaneous coronary artery ... experience recovery of cardiac ... recognition and management ... Cardiomyopathy #Cardiology