41 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Secondary to invasive cardiac ... • Malignancy (e.g ... CAUSES • PRIMARY Cardiac ... #Diagnosis #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... Cardiac surgery? ... #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... TIMI III flow in all ... DCSI #Initiative #Management ... #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 ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... despite hx HTN) EKG ... #Amyloidosis #Cardiac ... Signs #Symptoms #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... Compared Ambulatory ECG ... records asx events, all ... (most) ECG leads ... #management #holter
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... Chest Pain • ECG ... Connect ECG Leads ... #management #cardiology
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... coronary artery perfusion ... • Triggers (EKG ... Pump #diagnosis #management ... #cardiology #criticalcare