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diagnosis cardiology treatment shock algorithm criticalcare differential summary biopsy cardiomyopathy cardiotoxicity causes checkpoint dcsi detroit erythematosus ici inhibitor initiative lupus
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 ... #diagnosis #management ... #cardiology #summary
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... coronary syndrome, Cardiac ... failure <3 rnonths, Cardiogenic ... hypokinesia, associated pericarditis ... Diagnosis #Causes #cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High SVR: • Cardiogenic ... Valve Disease, Myocarditis ... Pneumothorax, Cardiac ... , Constrictive pericarditis ... algorithm #treatment #management
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?
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... Minority of Pts: cardiogenic ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #cardiology #treatment
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 ... • Myocarditis ... Cytopenias • Cardiac
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity Problem - Immune checkpoint inhibitors (ICIs) are associated with
Management of Immune ... ICIs range from myocarditis ... serious arrhythmias, pericarditis ... of severe ICI myocarditis ... Cardiotoxicity #cardiology
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