7 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?
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
myxedema, beriberi CARDIOGENIC ... pneumothorax, cardiac ... , constrictive pericarditis ... Types #diagnosis #management ... warm #wet #dry #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... is essentially Cardiogenic ... Cardiac cath if ... differential #algorithm #management ... #table #foamed
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Minority of Pts: cardiogenic ... and timing with Cardio-OB ... Delivery • Stable ... follow-up with Cardio-OB ... #cardiology #treatment