7 results
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, Arrythmias ... precipitating agent ... , steroids, AC
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Checklist Evaluation ... drained if causing acute ... weak inotropic agent ... treatment for acute ... #CHF #Shock #Cardiogenic
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
• Drugs • ICP ... nodal blocking agent ... • Shock • Hyperkalemia ... infarction • Myocarditis ... Chagas disease • Acute
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
are excellent at evaluating ... is essentially Cardiogenic ... Shock. ... #heartfailure #chf ... #criticalcare #icu
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... May have typical HF ... Minority of Pts: cardiogenic ... shock and severe ... Avoid ARBs • ICD
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... year old woman in ICU ... for acute ischemic ... PMHx recent CHF, ... consider contrast agent
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
• A form of acute ... escalate to: ⚠️ Cardiogenic ... shock ⚠️ Arrhythmias ... pulmonary edema in the absence ... congestion on a CXR