21 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Cardiogenic: Myocardial ... Decompensated CHF ... #algorithm #treatment ... #management
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Non-ACS Myocardial ... Elevated Troponin Differential ... Pre-Coronarv): Shock ... (ie acidosis), Tachycardia-induced ... HF, Severe Volume
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... Algorithm The ... segment is the only ECG ... #Algorithm #cardiology ... #occlusionMI #myocardial
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... #AVR #leadAVR #ecg ... #differential # ... cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... pulmonary disease or CHF ... pulmonary disease or CHF ... #Treatment #management ... #cardiology #algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #Cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... contraction and prevent tachycardia ... Treat and prevent myocardial ... as an "angina equivalent ... #Cardiology #HFpEF
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... CRITERIA Acute Myocardial ... Ischemic Symptoms  EKG ... #Initiative #Management ... #Cardiology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
overwhelmed, symptomatic tachycardia ... Cardiomyopathic → myocardial ... types #diagnosis #management ... #criticalcare # ... differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... , SBP <90, AMS, ... SOB from CHF, Chest ... bradycardia #diagnosis #differential ... #management #cardiology