13 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Diagnosis #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 ... , Arrythmias, Pericarditis ... , Tamponade EKG ... #diagnosis #management
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 and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... presentation: Pseudo-acute ... Paraclinical assessment: EKG ... hypokinesia, associated pericarditis ... Diagnosis #Causes #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - ... EKG & echocardiography ... Nephrotoxins (e.g ... channel blocker (eg
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
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
transmission, with acute ... Shock evidenced ... bleeding: based on evaluation ... attending physician (e.g ... state), heart (myocarditis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression Pericarditis ... /Myocarditis: ... weeks following an acute ... Post-cardioversion • Acute ... #ecg #ekg #electrocardiogram