36 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tamponade - Pulmonary ... Cardiac surgery? ... #criticalcare #treatment ... #workup
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... myocarditis, etc), Valves ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... #diagnosis #differential
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #Myocarditis #differential ... #cardiology #MRI
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... Treatment Goals
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... severe cardiogenic shock ... (eg, acute valvular ... #NormalValues #Differential
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... function tests if shock ... Revascularization, treatment ... for acute MI if ... #HeartFailure #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Diagnosis Algorithm ... Cardiac Causes ... Cardiomyopathy - Valves ... #HeartFailure #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 ... HF, Cardiogenic shock ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology