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diagnosis cardiomyopathy peripartum akinesis anterior biopsy causes differential echocardiogram evaluation hypokinesis lad obgyn perioperative pocus ppcm preop preoperative psax risk
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
performed) • Clinical ... Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... #Cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... Paraclinical assessment: EKG ... Diagnosis #Causes #cardiology ... #MRI
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Build clinical suspicion ... Clinical Presentation ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... ancestry, LGE on MRI ... Clinical • Under-recognized ... ARB/ACE-I/ARNI/MRA ... #cardiology #treatment
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... medical and surgical management
Anterior Hypokinesis on POCUS Echocardiogram A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... previous hx of MI ... This was her EKG ... Echocardiogram #clinical ... #cardiology #PSAX
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 Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... rheumatic disease • Myocarditis ... recognition and management ... Cardiomyopathy #Cardiology
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