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diagnosis shock treatment algorithm artery calculations cardiomyopathy catheter catheterization chestpain criticalcare dcsi decisionaid detroit equations heart initiative lowrisk pacatheter patientinfo
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
85% of predicted value ... arrythmias Diagnostics: EKG ... MRI ($$$$) CORE IM ... Stress #Testing #cardiology ... #management #diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... pericarditis, Pericardial ... resuscitation • Cardiogenic ... Anaphylactic >> IM
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... forward flow. e.g ... catheter #diagnosis #cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #cardiology #treatment
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
troponin test and ECG ... single troponin value ... Obtain an ECG at ... #Management #PatientInfo ... #Cardiology #ChestPain
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