10 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #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 ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... wet (dependent areas ... Severe Valve Dz, Myocarditis ... #Classification ... #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Valve Disease, Myocarditis ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm ... #treatment #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... wet (dependent areas ... Severe Valve Dz, Myocarditis ... #Classification ... #diagnosis #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... #Algorithm #DCSI ... #Initiative #Management ... #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... Pts: cardiogenic shock ... Management during ... Postpartum Period • Breast-feeding ... #cardiology #treatment
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... has traveled to areas ... Shock or respiratory ... Shock evidenced ... state), heart (myocarditis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
⚠️ Cardiogenic shock ... rheumatic disease • Myocarditis ... including giant-cell myocarditis ... recognition and management ... Cardiomyopathy #Cardiology