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cardiology differential management treatment criticalcare endocarditis evaluation pulmonary shock acs angina artery biopsy calculations cardiomyopathy catheter catheterization chf clinical dcsi
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... Obtain femoral arterial
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI 1 STABLE ANGINA - Angina
, STEMI 1 STABLE ... that results in injury ... in transmural injury ... #Diagnosis #Cardiology ... Text: The Only EKG
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... injury 4. ... - Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
inflammation (e.g ... pancreatitis) - Arterial ... Thrombus / Embolism: Cardiac ... Hypoperfusion: Lumen (Bowel ... #algorithm
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
lack of acute cardiac ... level <100 pg/ml EKG ... use causing non-cardiogenic ... pulmonary edema • Bowel ... #cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Medications, Spinal Cord Injury ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
CARDIAC POWER OUTPUT ... correlate in the SHOCK trial ... much as 40% in cardiac ... artery #catheter #diagnosis ... #cardiology #swanganz
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... : • New cardiac ... Septic Emboli Cause Injury ... ↑ ESR, CRP • EKG ... #management #cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Minority of Pts: cardiogenic ... and timing with Cardio-OB ... Serial TTE and close ... follow-up with Cardio-OB ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... ECG is vital while ... is essentially Cardiogenic ... Cardiac cath if ... #algorithm #management
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