8 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Revascularization, treatment ... NSAlDs, ACE-inhibitors ... #Cardiogenic #HeartFailure ... #Cardiology #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... limb ischemia, bowel ... organ damage • Treatment ... unless worrisome EKG ... TLS #diagnosis #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... agent, steroids, AC ... Myocarditis #diagnosis #management
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 #treatment ... table #foamed #heartfailure
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... changes on tele/ECG ... tests in cath lab ... Treatment: ... #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Pts: cardiogenic shock ... Management during ... • Avoid ARB/ACE-I ... ., ACE/ARB) need ... #cardiology #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... patients with CAD ... “one size fits all ... echocardiogram #management ... criticalcare #foamed #treatment