22 results
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes of Cardiogenic ... Shock: Beta-Blockers ... hemochromatosis) Valvular ... Tamponade, pulmonary ... #Diagnosis #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... Decompensated CHF ... • Obstructive: Pulmonary ... compartment syndrome, Vascular ... Treatment Goals
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... Heart Failure, Valvular ... Arrhythmias / CHB ... • Hypovolemic: Bleeding ... Pericardial tamponade, Pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... function tests if shock ... Revascularization, treatment ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
VASCULAR RESISTANCE ... patients with cardiogenic ... SYSTEMIC VASCULAR ... • Advanced cardiogenic ... catheter #diagnosis #cardiology
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... difference in vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Fulminant: - Acute HF ... , Cardiogenic shock ... Low voltage Treatment ... diagnosis #management #cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... during a period of CHF ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... ischemic changes CXR ... vascular congestion ... use causing non-cardiogenic ... differential #diagnosis #cardiology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Release from blast cells ... Cathepsin G release → vascular ... - pulmonary opacities ... sepsis), PE, DAH, CHF