13 results
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... in acute pericarditis ... patients) stage 4 - ECG ... inverted #Diagnosis #EM ... #EKG #Pericarditis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic ... shock, Arrythmias ... , Pericarditis, ... Tamponade EKG Findings ... Myocarditis #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - ... EKG & echocardiography ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... AMS, SOB from CHF ... Chest Pain • ECG ... Connect ECG Leads
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... - Pulmonary >> Acute ... #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... INCLUSION CRITERIA Acute ... Ischemic Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... Pts: cardiogenic shock ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
are excellent at evaluating ... ECG is vital while ... essentially Cardiogenic Shock ... differential #algorithm #management ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... disease b) CHF ... indicated • EKG ... Obtain EKG if: ... medical and surgical management