9 results
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Diffuse spasm of epicardial ... changes on tele/ECG ... #cardiology #diagnosis ... #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... TIMI III flow in all ... major epicardial ... DCSI #Initiative #Management ... #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... antiarrhythmics - Ischemic cardiomyopathy ... Nephrotoxins (e.g ... channel blocker (eg
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
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
(e.g., familial ... Pts: cardiogenic shock ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
current guidelines (eg ... Angina: consider ... ranolazine if angina ... diet, exercise, cardiac ... #Algorithm #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression Takotsubo Cardiomyopathy ... Prinzmetal's Angina ... : • Epicardial ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... Unstable Angina ... medical and surgical management
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
of pregnancy (e.g ... ⚠️ Cardiogenic shock ... Genetic variants (e.g ... deficiencies (e.g ... Consider biomarkers (e.g